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Idaho rates for HCPCS 20696

App Mltpln Uni Xtrnl Fix Strtctc Adjmt 1st&Subsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,833.27 / $17,833.27 / $17,883.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.82 / $2,142.00 / $2,907.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,201.00 / $46,554.36 / $73,028.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00