go back

Idaho rates for HCPCS L6882

Microprocessor control feature, addition to upper limb prosthetic terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,222.34 / $3,071.58 / $3,071.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,291.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,264.80 / $2,414.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,077.14 / $2,573.87 / $3,653.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,288.59 / $3,471.29 / $3,653.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,696.64 / $3,211.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,199.56 / $3,568.35 / $5,352.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,557.79 / $2,649.37 / $3,836.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,542.64 / $1,668.47 / $2,646.19