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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
$389.05 / $630.96 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $977.24 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $645.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $870.96 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,000.00 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $891.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,023.29 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $776.25 / $1,174.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,047.13 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $537.03 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $407.38 / $616.60