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Idaho rates for HCPCS 12055

Repair Intermediate F/E/E/N/L&/Muc 12.6-20.0cm

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
$297.85 / $449.98 / $767.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.19 / $497.69 / $815.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.63 / $472.48 / $805.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.15 / $588.05 / $971.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $774.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.62 / $958.04 / $1,244.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.91 / $603.77 / $945.26
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
$467.99 / $612.45 / $830.21