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Idaho rates for HCPCS 20101

Exploration Penetrating Wound Spx Chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.97 / $480.11 / $1,217.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.70 / $450.76 / $1,013.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.04 / $509.90 / $1,278.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.84 / $695.76 / $1,075.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $753.15 / $947.51
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
$356.92 / $694.14 / $1,210.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.00 / $699.21 / $973.42