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Idaho rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Facilitymedian $263 · 10th–90th $155–$3470%20%10th90th$263Professionalmedian $200 · 10th–90th $120–$3160%10%10th90th$200$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $181.97 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $263.03 / $446.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $316.23 / $316.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $223.87 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $223.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $234.42 / $316.23
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $269.15 / $281.84
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $239.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $269.15 / $269.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $295.12
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $281.84 / $281.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $194.98 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $128.82 / $199.53