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Idaho rates for HCPCS 42650

Dilation salivary duct

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $77.62 / $169.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,737.80 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $120.23 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $97.72 / $158.49
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $104.71 / $204.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $107.15 / $151.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $3,467.37 / $4,786.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $120.23 / $158.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $83.18 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $97.72 / $151.36