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Idaho rates for HCPCS 25915

Krukenberg Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,178.20 / $1,602.97 / $2,370.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.17 / $1,769.00 / $2,198.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,117.19 / $2,117.98 / $2,844.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,893.09 / $2,065.19 / $2,711.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,615.57 / $2,032.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,480.35 / $9,397.43 / $15,505.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,993.60 / $2,345.41 / $2,711.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,151.44 / $1,655.71 / $2,365.31