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Idaho rates for HCPCS 0164U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.18 / $202.18 / $291.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.41 / $105.30 / $105.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.37 / $118.68 / $436.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.38 / $128.44 / $160.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.30 / $218.44 / $231.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.02 / $112.02 / $134.41
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.03 / $224.04 / $403.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.22 / $167.66 / $173.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.05 / $47.05 / $134.41