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Idaho rates for HCPCS 20697

App Mltpln Uni Xtrnl Fix Strtctc Adjmt Exchange

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
$1,736.16 / $2,932.48 / $3,805.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.37 / $1,006.37 / $1,009.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,567.83 / $2,996.42 / $3,558.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.46 / $3,102.48 / $4,604.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,709.15 / $2,955.44 / $4,104.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,310.15 / $2,906.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.32 / $3,860.69 / $4,869.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.30 / $3,539.12 / $4,219.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,059.55 / $2,890.50 / $4,277.93