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Idaho rates for HCPCS L6450

Elbow Disarticulation Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,565.50 / $3,545.88 / $3,765.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,717.61 / $2,717.61 / $2,839.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $2,717.61 / $2,799.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.82 / $3,328.54 / $4,526.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,796.39 / $4,007.30 / $4,218.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,113.03 / $3,707.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,693.62 / $4,119.35 / $6,179.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,952.75 / $3,079.29 / $4,429.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.88 / $1,846.11 / $2,923.01