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Idaho rates for HCPCS L8410

Prosthetic sheath, above knee, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.12 / $26.70 / $27.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.62 / $16.62 / $20.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.13 / $16.62 / $17.73
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.01 / $23.01 / $31.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.58 / $30.17 / $31.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.89 / $23.73 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.81 / $31.02 / $46.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.23 / $22.23 / $33.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.25 / $16.25 / $16.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.47 / $12.40 / $39.76