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Idaho rates for HCPCS L6400

Below Elbow Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.90 / $2,612.10 / $3,088.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.02 / $2,125.02 / $2,329.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $2,125.02 / $2,188.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.99 / $2,332.89 / $3,107.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,796.65 / $2,952.02 / $3,107.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,293.25 / $2,731.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,720.94 / $3,034.56 / $4,551.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,175.17 / $2,268.39 / $3,262.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.64 / $1,389.43 / $2,203.62