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Idaho rates for HCPCS 28636

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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
$200.11 / $408.50 / $639.60
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
$241.99 / $348.72 / $549.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.97 / $411.06 / $677.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.74 / $557.17 / $695.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $489.16 / $615.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,290.46 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.24 / $467.36 / $715.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.97 / $431.03 / $628.59