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Idaho rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.06 / $581.96 / $582.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $439.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $461.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $546.29 / $700.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.08 / $657.69 / $692.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $510.92 / $608.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$606.21 / $676.09 / $1,014.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.62 / $505.39 / $726.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $0.55 / $518.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.33 / $345.39 / $536.49