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Idaho rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.56 / $621.35 / $708.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.94 / $412.94 / $533.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.45 / $412.94 / $440.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.60 / $555.49 / $739.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.24 / $702.20 / $739.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $545.49 / $649.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.24 / $721.84 / $1,082.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.41 / $517.41 / $776.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.45 / $318.47 / $505.08