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Idaho rates for HCPCS L7190

Electronic elbow, adolescent, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,816.33 / $8,038.97 / $8,038.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,903.34 / $6,553.03 / $6,553.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,783.71 / $6,553.03 / $6,749.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,920.30 / $7,179.66 / $9,563.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,606.93 / $9,085.10 / $9,563.26
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
$8,373.93 / $9,339.12 / $14,008.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,694.28 / $6,784.81 / $10,041.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,182.35 / $4,523.51 / $7,174.26