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Idaho rates for HCPCS L6623

Upper extremity addition, spring assisted rotational wrist unit with latch release

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.66 / $726.54 / $726.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.89 / $496.34 / $496.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.33 / $362.33 / $808.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.97 / $608.80 / $864.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$777.87 / $821.09 / $864.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $637.85 / $759.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$756.81 / $844.04 / $1,266.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.01 / $605.01 / $907.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.13 / $384.10 / $669.76