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Idaho rates for HCPCS 41250

Rpr Lac 2.5 Cm/< Mouth&/Ant Two-Thirds Tong

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.53 / $372.72 / $823.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.28 / $807.85 / $1,259.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00