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Idaho rates for HCPCS L2622

Addition To Lower Extremity Pelvic Control Hip Joint Adjustable Flexion Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.51 / $302.51 / $302.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $288.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $230.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.27 / $243.36 / $345.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.93 / $328.21 / $345.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $258.08 / $310.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.51 / $337.38 / $506.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.84 / $241.84 / $362.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.36 / $172.36 / $267.72