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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
$47.43 / $65.55 / $65.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.73 / $48.73 / $48.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $48.73 / $51.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.11 / $54.93 / $77.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.18 / $74.08 / $77.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $57.54 / $68.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.28 / $76.15 / $114.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.59 / $56.93 / $81.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.97 / $38.90 / $60.43