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Idaho rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

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
$765.47 / $1,200.40 / $1,719.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.93 / $1,266.00 / $1,483.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.58 / $1,412.89 / $2,035.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.18 / $1,591.83 / $1,990.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,213.94 / $1,527.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,653.11 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.76 / $1,780.89 / $1,990.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.31 / $1,297.42 / $1,877.34