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Idaho rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.00 / $49.75 / $49.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $34.54 / $37.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.21 / $34.54 / $36.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $44.43 / $59.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.26 / $56.22 / $59.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $43.67 / $52.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.82 / $57.79 / $86.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.43 / $41.43 / $62.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.50 / $27.58 / $43.74