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Idaho rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.97 / $468.50 / $847.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.43 / $381.88 / $534.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.33 / $463.03 / $847.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.63 / $402.10 / $574.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $410.11 / $515.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.20 / $1,253.59 / $1,674.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.46 / $398.75 / $584.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.12 / $419.40 / $636.69