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Idaho rates for HCPCS L6650

Upper extremity addition, shoulder universal joint, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.58 / $344.96 / $450.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.67 / $280.67 / $339.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.89 / $280.67 / $289.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.85 / $308.39 / $410.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.33 / $389.85 / $410.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $302.85 / $360.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.33 / $400.75 / $601.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.26 / $287.26 / $430.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.40 / $202.68 / $318.00