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Idaho rates for HCPCS A6506

Compression Burn Garment Glove To Axilla Custom Fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.72 / $139.72 / $139.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $51.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $3,900.00