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Idaho rates for HCPCS L6895

Addition To Upper Extremity Prosthesis Glove For Terminal Device Any

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.57 / $625.52 / $625.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.79 / $418.79 / $420.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.72 / $418.79 / $446.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.86 / $557.51 / $744.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.72 / $706.92 / $744.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $549.17 / $654.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.58 / $726.69 / $1,090.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.89 / $520.89 / $781.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.73 / $306.73 / $306.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.14 / $334.36 / $529.40