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Idaho rates for HCPCS 42310

Drg Absc Submaxillary/Sublingual Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.96 / $207.14 / $503.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.18 / $232.49 / $306.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.56 / $263.64 / $503.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.35 / $274.33 / $332.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $237.83 / $299.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$877.58 / $1,237.18 / $1,667.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.29 / $274.86 / $343.25
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
$177.11 / $241.07 / $361.85