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Idaho rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.36 / $173.27 / $200.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $151.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $203.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $154.88 / $206.12
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.51 / $195.81 / $206.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $152.11 / $181.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.49 / $201.29 / $301.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.28 / $144.28 / $216.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.82 / $96.06 / $152.35