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Idaho rates for HCPCS 42810

Exc Branchial Cleft Cyst Confined Skn&Subq Tis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$974.63 / $1,348.91 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.24 / $424.17 / $1,133.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.95 / $487.57 / $671.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.72 / $605.38 / $1,133.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.60 / $558.29 / $758.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $537.92 / $676.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.66 / $7,239.58 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.11 / $576.13 / $787.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.00 / $572.01 / $867.48