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Idaho rates for HCPCS L6676

Upper extremity addition, harness, (e.g., figure of eight type), dual cable design

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.76 / $148.94 / $161.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.54 / $97.54 / $121.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $97.54 / $103.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.88 / $133.16 / $177.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.46 / $168.32 / $177.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $130.75 / $155.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.15 / $173.03 / $259.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.03 / $124.03 / $186.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.14 / $72.62 / $118.41