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Idaho rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $213.80 / $302.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $331.13 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $389.05 / $389.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $229.09 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $229.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $338.84 / $363.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $338.84 / $354.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $302.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $338.84 / $338.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $257.04 / $389.05
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $354.81 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $239.88 / $239.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $158.49 / $245.47