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Idaho rates for HCPCS 40702

Plstc Rpr Cl Lip/Nsl Dfrm Prim Bi 1 2 Stgs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.62 / $1,511.98 / $2,882.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.86 / $1,378.04 / $1,754.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.10 / $1,491.56 / $3,026.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.24 / $1,716.31 / $1,961.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,566.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,857.62 / $2,000.83 / $2,022.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.39 / $1,163.52 / $1,743.00