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Idaho rates for HCPCS L6930

Below Elbow External Power Self-Suspended Inner Socket Removable Forearm Shell Otto Bock Or Equal Switch Cables Two Batteries And One Charger Switch Control Of Terminal Device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,162.98 / $8,518.08 / $8,518.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,223.97 / $6,300.68 / $6,300.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,599.50 / $6,300.68 / $6,489.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,595.84 / $7,137.90 / $10,133.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,119.90 / $9,626.56 / $10,133.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.00 / $9,895.71 / $14,843.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,093.25 / $7,161.35 / $10,639.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,717.67 / $4,020.92 / $6,770.76