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Idaho rates for HCPCS L6915

Hand restoration (shading and measurements included), replacement glove for above

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.04 / $732.60 / $806.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.82 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $644.36 / $663.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $654.95 / $871.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.37 / $827.94 / $871.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $643.18 / $765.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.13 / $851.09 / $1,276.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.05 / $610.05 / $915.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.58 / $374.86 / $594.52