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Idaho rates for HCPCS L6691

Upper extremity addition, removable insert, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.54 / $400.19 / $458.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $345.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $292.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.44 / $357.76 / $476.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.46 / $452.27 / $476.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $351.33 / $418.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.86 / $464.91 / $697.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.25 / $333.25 / $499.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.11 / $206.69 / $327.82