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Idaho rates for HCPCS L6885

Replacement Socket Shoulder Disarticulation/Interscapular Thoracic Molded To Patient Model For Use With Or Without External Power

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,781.40 / $4,284.85 / $4,284.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,197.11 / $3,297.39 / $3,297.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,407.09 / $2,407.09 / $3,396.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,231.29 / $3,590.57 / $5,097.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,587.58 / $4,842.43 / $5,097.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,761.81 / $4,480.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,463.39 / $4,977.85 / $7,466.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,568.12 / $3,568.12 / $5,352.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.40 / $1,907.24 / $3,405.88