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Idaho rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $50.12 / $64.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $75.86 / $125.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $87.10 / $87.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $48.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $69.18 / $93.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $79.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $67.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $75.86 / $75.86
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $67.61 / $87.10
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $79.43 / $107.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $51.29 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $38.90 / $58.88