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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
$6,747.28 / $9,325.67 / $9,325.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,958.26 / $8,732.85 / $8,732.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $8,732.85 / $8,994.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,573.07 / $7,814.62 / $11,093.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,984.54 / $10,539.24 / $11,093.94
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
$9,714.24 / $10,833.92 / $16,250.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,765.76 / $8,098.58 / $11,648.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.86 / $5,544.86 / $5,544.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,117.22 / $5,534.64 / $8,596.95