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Idaho rates for HCPCS 12005

Smpl Rpr Scalp/Neck/Ax/Genit/Trunk 12.6-20.0cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.70 / $238.48 / $1,628.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.87 / $152.46 / $267.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.25 / $182.14 / $282.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.41 / $184.28 / $297.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.51 / $283.39 / $343.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $273.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.62 / $958.04 / $1,244.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.75 / $194.56 / $328.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $219.60 / $293.93