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Idaho rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.01 / $215.63 / $215.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.93 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $175.58 / $187.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.15 / $182.91 / $256.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.86 / $243.68 / $256.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $189.30 / $225.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.61 / $250.50 / $375.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.56 / $179.56 / $269.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.17 / $104.02 / $198.78