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Idaho rates for HCPCS 31613

Tracheostoma Revj Smpl W/O Flap Rotation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $5,048.78 / $7,205.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.10 / $795.35 / $1,322.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.66 / $7,582.86 / $9,755.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00