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Idaho rates for HCPCS L6935

Below elbow, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,513.42 / $9,002.44 / $9,002.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,067.32 / $7,503.37 / $7,503.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,477.46 / $7,503.37 / $7,998.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,034.15 / $8,040.14 / $10,709.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,638.48 / $10,173.95 / $10,709.42
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
$9,377.54 / $10,458.42 / $15,687.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,496.59 / $7,688.59 / $11,244.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,345.39 / $4,699.85 / $7,453.95