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Idaho rates for HCPCS 25490

Proph Tx N/P/Pltwr W/Wo Methylacrylate Radius

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
$730.55 / $984.23 / $1,464.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.40 / $1,090.77 / $1,355.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.82 / $1,434.65 / $1,757.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.97 / $1,286.15 / $1,682.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,006.14 / $1,265.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,746.17 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.26 / $1,460.30 / $1,682.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.67 / $1,078.48 / $1,494.25