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Idaho rates for HCPCS 33617

Rpr Complex Cardiac Anomaly Modified Fontan Px

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
$2,095.04 / $2,804.06 / $6,397.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,937.84 / $3,596.30 / $4,015.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,496.44 / $3,455.97 / $8,189.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,412.60 / $3,889.00 / $4,136.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,248.61 / $3,619.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,889.00 / $4,251.60 / $4,305.97
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
$2,186.46 / $2,943.01 / $4,636.09