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Idaho rates for HCPCS L6881

Automatic Grasp Feature Addition To Upper Limb Electric Prosthetic Terminal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,929.73 / $4,049.29 / $4,049.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,801.20 / $2,801.20 / $3,021.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,044.88 / $2,044.88 / $5,238.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.00 / $3,393.18 / $4,817.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,335.38 / $4,576.24 / $4,817.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,555.01 / $4,233.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,218.01 / $4,704.18 / $7,056.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,371.96 / $3,492.62 / $5,057.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,033.67 / $2,199.56 / $6,032.32