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Idaho rates for HCPCS 35306

Teaec W/Graft Ea Addl Tibial/Peroneal Art

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
$499.80 / $561.60 / $1,309.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.50 / $733.86 / $819.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$517.04 / $1,001.11 / $1,675.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.37 / $792.97 / $841.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $659.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$792.97 / $864.45 / $879.37
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
$467.72 / $628.19 / $959.04