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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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,778.28 / $4,073.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $5,128.61 / $7,413.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,570.40 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,290.87 / $2,754.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $2,884.03 / $5,248.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $2,454.71 / $2,754.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $2,691.53 / $2,884.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $2,570.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,862.09 / $2,818.38