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Idaho rates for HCPCS L6687

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

Facilitymedian $661 · 10th–90th $363–$9330%20%10th90th$661Professionalmedian $490 · 10th–90th $316–$7760%10%10th90th$490$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $416.87 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $660.69 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $776.25 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $436.52
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$223.87 / $616.60 / $831.76
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $676.08 / $707.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $602.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $676.08 / $676.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $489.78 / $741.31
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $707.95 / $933.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $512.86 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $346.74 / $537.03