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Idaho rates for HCPCS L6684

Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $338.84 / $467.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $524.81 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $630.96 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $363.08 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $363.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $426.58 / $575.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $537.03 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $478.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $549.54 / $549.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $630.96
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $309.03 / $316.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $208.93 / $323.59