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Idaho rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.55 / $18.73 / $20.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $15.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $15.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $16.72 / $22.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $21.17 / $22.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $16.64 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.51 / $21.76 / $32.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $15.60 / $23.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.43 / $14.95