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Idaho rates for HCPCS L7191

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,011.87 / $7,079.46 / $11,220.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $10,715.19 / $17,782.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $12,589.25 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,709.64 / $8,709.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,309.57 / $6,309.57 / $8,709.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $9,332.54 / $14,791.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $10,715.19 / $11,220.18
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
$10,471.29 / $10,715.19 / $10,715.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $9,549.93 / $12,589.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $11,220.18 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,244.36 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,128.61 / $5,495.41 / $8,511.38