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Idaho rates for HCPCS L6704

Terminal Device, Sport/Recreational/Work Attachment,Any Materiany

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.46 / $632.28 / $779.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $587.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $384.89 / $562.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.39 / $593.51 / $864.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.94 / $714.55 / $752.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.62 / $734.53 / $1,101.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.51 / $549.08 / $789.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.22 / $350.67 / $556.16