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Idaho rates for HCPCS L6635

Upper extremity addition, lift assist for elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.93 / $190.65 / $234.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.47 / $166.47 / $176.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.52 / $166.47 / $177.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.09 / $172.03 / $248.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.12 / $215.46 / $226.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $167.37 / $199.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.59 / $221.48 / $332.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.76 / $165.56 / $238.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.51 / $105.47 / $167.27