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Idaho rates for HCPCS 33694

Compl Rpr T-Fallot W/O Pulm Atresia Tanulr Patch

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
$1,888.50 / $2,523.42 / $5,763.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,646.91 / $3,240.18 / $3,617.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.98 / $3,108.58 / $7,377.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,071.01 / $3,501.41 / $3,722.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,922.83 / $3,256.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,501.41 / $3,825.71 / $3,876.80
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
$2,039.42 / $2,673.46 / $4,181.72