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Idaho rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $8,439.00 / $8,889.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.38 / $1,310.01 / $2,681.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.71 / $1,439.56 / $1,743.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$975.25 / $1,676.81 / $2,842.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.55 / $1,587.25 / $1,814.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,282.75 / $1,613.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $13,168.12 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,577.21 / $1,850.26 / $1,881.38
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
$926.84 / $1,226.70 / $1,925.68