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Idaho rates for HCPCS L6689

Upper Extremity Addition Frame Type Socket Shoulder Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.05 / $872.22 / $872.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$542.54 / $649.92 / $649.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.45 / $649.92 / $692.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.47 / $746.07 / $1,037.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.84 / $985.72 / $1,037.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $765.74 / $911.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.56 / $1,013.28 / $1,519.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.32 / $754.81 / $1,089.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.04 / $403.46 / $693.30