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Idaho rates for HCPCS 25115

Rad Exc Bursa Synva Wrst/F/Arm Tdn Shths Flxrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
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
$736.90 / $1,542.10 / $1,850.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.28 / $3,904.76 / $4,869.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00