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Idaho rates for HCPCS 15576

Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.50 / $917.45 / $1,198.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.66 / $1,031.60 / $1,284.19
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.75 / $992.56 / $1,337.70
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.68 / $1,262.23 / $1,529.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,235.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,306.03 / $4,697.79 / $5,755.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$993.33 / $1,201.51 / $1,467.86
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
$835.45 / $1,069.25 / $1,383.27