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Idaho rates for HCPCS 22905

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.50 / $2,109.94 / $3,437.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,597.82 / $6,572.09 / $8,615.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00