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Idaho rates for HCPCS 11772

Excision Pilonidal Cyst/Sinus Complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.05 / $4,500.00 / $8,611.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.02 / $876.52 / $1,238.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,597.82 / $6,572.09 / $8,615.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00