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Idaho rates for HCPCS 42650

Dilation Salivary Duct

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
$59.27 / $87.59 / $217.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.89 / $101.16 / $139.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.03 / $127.77 / $217.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.61 / $117.10 / $145.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $103.29 / $129.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,749.17 / $3,429.20 / $4,629.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $119.15 / $152.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.39 / $113.86 / $170.49