go back

Idaho rates for HCPCS 33853

Rpr Hypoplstc A-Arch W/Agrft/Prostc W/Bypass

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
$1,795.18 / $2,381.23 / $5,424.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,489.39 / $3,047.35 / $3,402.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,149.12 / $2,937.60 / $6,943.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,899.15 / $3,299.92 / $3,514.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,760.36 / $3,075.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,299.91 / $3,609.76 / $3,653.06
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
$1,762.73 / $2,537.11 / $3,924.95