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Idaho rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,366.44 / $3,270.75 / $3,270.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,437.55 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $2,550.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.47 / $2,921.12 / $3,890.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,501.83 / $3,696.37 / $3,890.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,871.50 / $3,419.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,407.03 / $3,799.73 / $5,699.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,723.64 / $2,723.64 / $4,085.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.78 / $1,585.34 / $2,514.34