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Idaho rates for HCPCS L6320

Shoulder disarticulation, passive restoration (shoulder cap only)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,247.49 / $1,724.20 / $2,274.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,637.27 / $1,637.27 / $1,715.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,195.21 / $1,637.27 / $1,686.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.62 / $1,541.44 / $2,186.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.02 / $1,948.57 / $2,051.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,513.73 / $1,802.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,796.04 / $2,003.06 / $3,004.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.79 / $1,497.32 / $2,153.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,366.91 / $1,366.91 / $1,366.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$946.12 / $1,023.29 / $1,589.47