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Idaho rates for HCPCS 25455

Epiphysl Arrst Epiphysiod/Stapling Dstl Rds&Ulna

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.36 / $940.96 / $1,489.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.02 / $1,100.33 / $1,276.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.11 / $1,294.73 / $1,712.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.73 / $1,307.70 / $1,709.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,022.89 / $1,286.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.98 / $8,126.28 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.66 / $1,484.30 / $1,709.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $6,489.22 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.32 / $1,066.48 / $1,491.25