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Idaho rates for HCPCS 23655

Clsd Tx Shoulder Dislc W/Manipulation Req Anes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.60 / $997.26 / $7,045.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.37 / $1,006.37 / $1,009.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.20 / $683.46 / $963.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,702.95 / $3,860.69 / $4,869.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00