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Idaho rates for HCPCS 42225

Palatop Cl Palate Attachment Pharyngeal Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.80 / $1,432.74 / $2,852.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.91 / $1,550.06 / $1,828.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$929.16 / $1,811.93 / $3,023.36
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.69 / $1,690.27 / $1,931.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,364.09 / $1,716.12
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
$1,670.11 / $1,964.84 / $2,001.21
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
$977.04 / $1,299.04 / $1,981.22