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Idaho rates for HCPCS L6500

Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,594.83 / $3,586.41 / $3,586.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,580.94 / $2,970.85 / $2,970.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.71 / $2,970.85 / $3,167.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,192.80 / $3,357.04 / $4,266.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,839.79 / $4,053.11 / $4,266.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,148.62 / $3,749.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,735.84 / $4,166.43 / $6,249.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,986.50 / $3,114.49 / $4,479.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,708.28 / $1,847.62 / $3,306.17