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Idaho rates for HCPCS L6883

Replacement socket, below elbow/wrist disarticulation, molded to patient model, for use with or without external power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.90 / $2,067.54 / $2,067.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,294.08 / $1,551.30 / $1,551.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.45 / $1,132.45 / $1,597.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.44 / $1,732.54 / $2,459.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,213.62 / $2,336.60 / $2,459.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,815.16 / $2,161.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,153.69 / $2,401.92 / $3,602.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.71 / $1,721.71 / $2,582.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$878.54 / $950.20 / $1,643.41