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Idaho rates for HCPCS 35013

Dir Rpr Ruptd Aneurysm Axil-Brachial Arm Incis

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
$1,411.49 / $1,622.18 / $3,722.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.15 / $2,086.10 / $2,329.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.29 / $1,998.96 / $4,765.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.94 / $2,140.60 / $2,274.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,766.21 / $1,968.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,274.23 / $2,482.71 / $2,519.44
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
$1,279.65 / $1,737.98 / $2,712.83