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Idaho rates for HCPCS L6620

Upper extremity addition, flexion/extension wrist unit, with or without friction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.35 / $337.73 / $381.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.68 / $292.48 / $292.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.51 / $292.48 / $301.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.21 / $301.93 / $408.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.59 / $381.68 / $401.77
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $296.50 / $353.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.80 / $392.35 / $588.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.24 / $285.82 / $421.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.87 / $181.55 / $287.95