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Idaho rates for HCPCS 23552

Optx Acromclav Dislc Acute/Chronic W/Fascial Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,589.73 / $4,574.05 / $12,576.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,559.53 / $5,559.53 / $5,575.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.91 / $1,185.44 / $1,603.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,951.56 / $17,361.59 / $22,059.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00