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Idaho rates for HCPCS L6675

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Single Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.67 / $121.17 / $152.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $114.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $90.07 / $96.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.42 / $101.53 / $144.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.72 / $136.93 / $144.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $106.37 / $126.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.22 / $140.76 / $211.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.90 / $100.90 / $151.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.48 / $71.91 / $111.70