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Idaho rates for HCPCS L7405

Addition To Upper Extremity Prosthesis Shoulder Disarticulation/Interscapular Thoracic Acrylic Material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.94 / $720.00 / $720.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.22 / $624.54 / $624.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.91 / $455.91 / $665.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.48 / $603.34 / $856.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.87 / $813.69 / $856.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $632.11 / $752.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.00 / $836.45 / $1,254.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.55 / $621.01 / $899.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.60 / $391.10 / $620.28