go back

Idaho rates for HCPCS L6640

Upper extremity additions, shoulder abduction joint, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.49 / $347.59 / $347.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.87 / $244.07 / $244.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.17 / $244.07 / $251.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.28 / $291.27 / $413.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.14 / $392.82 / $413.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $305.15 / $363.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.07 / $403.80 / $605.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.44 / $289.44 / $434.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.08 / $167.72 / $276.29