go back

Idaho rates for HCPCS 0696T

Bdy Surf Activation Mapg Pm/Cvdfb Leads Tm F/Up

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $43.31 / $47.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.04 / $47.42 / $55.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,500.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.41 / $95.55 / $116.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.28 / $62.69 / $62.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $61.42 / $78.18