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Idaho rates for HCPCS 0004M

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.58 / $142.58 / $205.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.30 / $55.30 / $90.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.10 / $308.10 / $308.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.05 / $154.05 / $169.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $80.58 / $94.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $154.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.50 / $158.00 / $284.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.91 / $117.91 / $121.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.18 / $33.18 / $118.50