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Idaho rates for HCPCS L6647

Upper extremity addition, shoulder lock mechanism, body powered actuator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.09 / $514.28 / $514.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.73 / $405.51 / $405.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $405.51 / $432.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.36 / $430.95 / $611.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.62 / $581.21 / $611.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.71 / $597.46 / $896.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.26 / $443.63 / $642.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.29 / $279.36 / $474.09