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Idaho rates for HCPCS 12047

Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.10 / $528.16 / $829.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.50 / $561.14 / $882.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.11 / $554.58 / $870.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.01 / $690.92 / $1,066.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $840.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,074.61 / $4,697.79 / $5,755.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$543.21 / $717.38 / $1,007.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.90 / $681.30 / $923.54