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Idaho rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,649.91 / $3,891.61 / $4,039.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,045.96 / $3,141.52 / $3,141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $3,141.52 / $3,235.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.07 / $3,384.40 / $4,629.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,166.56 / $4,398.03 / $4,629.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,416.57 / $4,068.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,053.76 / $4,521.01 / $6,781.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,240.66 / $3,240.66 / $4,860.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.04 / $1,817.08 / $3,093.31