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Idaho rates for HCPCS 33697

Compl Rpr T-Fallot W/Pulm Atresia

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
$1,988.94 / $2,657.30 / $6,070.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,788.23 / $3,413.17 / $3,810.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.15 / $3,273.09 / $7,770.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,234.86 / $3,688.20 / $3,921.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,078.15 / $3,429.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,688.20 / $4,029.66 / $4,083.59
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
$2,109.27 / $2,818.81 / $4,405.21