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Idaho rates for HCPCS 39200

Resection of mediastinal cyst

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
$784.37 / $845.88 / $1,104.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.70 / $1,449.01 / $1,617.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.37 / $1,121.65 / $1,726.15
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,382.32 / $1,466.10 / $1,675.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,166.22 / $1,467.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.67 / $1,319.67 / $1,571.47
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
$909.82 / $1,231.42 / $1,865.54