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Idaho rates for HCPCS 33915

Pulmonary artery embolectomy; without cardiopulmonary 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
$1,534.31 / $1,787.12 / $4,083.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,872.76 / $2,292.51 / $2,559.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,410.01 / $2,201.84 / $5,226.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,164.21 / $2,480.69 / $2,623.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,069.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,480.69 / $2,688.66 / $2,733.02
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
$1,300.73 / $1,870.65 / $2,867.24