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Idaho rates for HCPCS L6630

Upper extremity addition, stainless steel, any wrist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.32 / $217.45 / $217.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.63 / $161.63 / $162.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.99 / $161.63 / $172.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.31 / $182.21 / $258.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.81 / $245.75 / $258.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $190.90 / $227.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.51 / $252.61 / $378.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $181.08 / $271.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.21 / $0.21 / $193.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.32 / $129.05 / $200.45