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Idaho rates for HCPCS 35021

Dir Rpr Aneurysm Innominate/Subclavian Artery

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
$1,403.72 / $1,638.78 / $3,739.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.73 / $2,095.39 / $2,339.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.30 / $2,021.58 / $4,786.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,988.63 / $2,275.96 / $2,410.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,902.29 / $2,119.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,275.96 / $2,470.05 / $2,507.92
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
$1,184.75 / $1,698.75 / $2,696.57