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Idaho rates for HCPCS L6890

Addition To Upper Extremity Prosthesis Glove For Terminal Device Any

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.55 / $187.34 / $226.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $170.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $170.15 / $181.39
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.75 / $167.49 / $222.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.58 / $211.73 / $222.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $164.47 / $195.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.15 / $217.65 / $326.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.01 / $156.01 / $234.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.16 / $101.84 / $161.53