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Idaho rates for HCPCS L6692

Upper Extremity Addition Silicone Gel Insert Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.22 / $564.22 / $744.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $561.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $881.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.18 / $529.64 / $806.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.09 / $637.65 / $671.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $495.35 / $589.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.73 / $655.48 / $983.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.85 / $489.98 / $704.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.61 / $334.86 / $520.14