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Idaho rates for HCPCS 40843

Vestibuloplasty; posterior, bilateral

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
$1,205.93 / $1,862.27 / $3,475.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,204.73 / $1,646.47 / $2,031.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.28 / $1,867.78 / $3,475.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.02 / $1,707.90 / $2,341.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,654.32 / $2,081.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,662.17 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.57 / $1,764.26 / $2,406.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,197.01 / $1,575.01 / $2,458.96