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Idaho rates for HCPCS 35623

Byp Oth/Thn Vein Axillary-Popliteal/-Tibial

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
$1,472.64 / $1,667.64 / $3,867.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,767.87 / $2,164.11 / $2,416.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,533.46 / $2,048.36 / $4,950.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,061.76 / $2,346.10 / $2,499.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,958.58 / $2,182.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,346.09 / $2,566.69 / $2,600.13
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
$1,376.46 / $1,948.01 / $2,822.37