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Idaho rates for HCPCS 33504

Rpr Anom Coronary Art Pulm Art Origin Grf W/Byp

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
$1,632.07 / $1,909.82 / $4,343.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.73 / $2,438.14 / $2,722.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,720.65 / $2,358.27 / $5,559.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,327.54 / $2,643.95 / $2,821.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,216.19 / $2,469.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,643.94 / $2,893.94 / $2,926.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.87 / $2,011.95 / $3,136.13