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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
$4,265.80 / $5,888.44 / $8,511.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $9,120.11 / $14,125.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,232.93 / $10,715.19 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,606.93 / $6,606.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $4,786.30 / $6,606.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $8,128.31 / $12,302.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $9,332.54 / $9,772.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $9,332.54 / $9,332.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $6,918.31 / $10,715.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.78 / $9,772.37 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $6,025.60 / $6,760.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,168.69 / $4,570.88 / $6,918.31