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Idaho rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.27 / $4,500.00 / $11,530.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.35 / $335.85 / $594.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.73 / $229.24 / $365.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.30 / $313.60 / $594.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.80 / $326.63 / $395.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $281.37 / $353.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.41 / $1,724.86 / $2,164.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.41 / $239.66 / $405.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.00 / $4,150.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.49 / $307.58 / $469.79