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Idaho rates for HCPCS L6205

Elbow Disarticulation Molded Socket With Expandable Interface Outside Locking Hinges Forearm

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,239.65 / $4,477.64 / $4,477.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,342.65 / $3,523.90 / $3,523.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,572.44 / $3,523.90 / $3,629.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.71 / $3,924.99 / $5,326.66
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,793.99 / $5,060.33 / $5,326.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,931.07 / $4,681.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,664.21 / $5,201.82 / $7,802.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,728.66 / $3,728.66 / $5,592.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,016.07 / $2,180.52 / $3,559.11