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Idaho rates for HCPCS L6645

Upper extremity addition, shoulder flexion-abduction joint, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.77 / $399.99 / $424.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.27 / $305.27 / $320.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.85 / $305.27 / $314.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.40 / $356.03 / $475.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.26 / $452.05 / $475.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $351.17 / $418.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.66 / $464.69 / $697.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.09 / $333.09 / $499.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.74 / $191.15 / $317.93