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Idaho rates for HCPCS 22904

Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.58 / $1,438.23 / $2,134.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.34 / $1,752.15 / $1,956.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.17 / $1,672.42 / $2,732.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,686.02 / $1,788.20 / $2,043.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,432.40 / $1,802.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,474.25 / $6,572.09 / $8,615.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.81 / $2,102.81 / $2,419.48
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
$881.46 / $1,410.98 / $2,300.63