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Idaho rates for HCPCS L6672

Upper Extremity Addition Harness Chest Or Shoulder Saddle Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.31 / $195.31 / $224.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.25 / $170.89 / $170.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $170.89 / $182.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.18 / $174.60 / $242.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.12 / $220.73 / $232.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $171.47 / $204.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.45 / $226.90 / $340.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.65 / $169.62 / $243.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.35 / $100.96 / $160.13