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Idaho rates for HCPCS L6570

Interscapular Thoracic Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,869.34 / $5,347.95 / $5,826.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,943.38 / $3,943.38 / $4,393.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,878.67 / $3,943.38 / $4,061.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.96 / $4,781.08 / $6,361.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,725.79 / $6,043.89 / $6,361.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $4,695.14 / $5,591.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,570.78 / $6,212.88 / $9,319.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,453.39 / $4,453.39 / $6,680.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,423.16 / $2,620.82 / $4,156.60