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Idaho rates for HCPCS 42955

Pharyngostomy (fistulization of pharynx, external for feeding)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $2,041.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $2,691.53 / $4,073.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,412.54 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,122.02 / $1,584.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $1,318.26 / $3,162.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,258.93 / $1,548.82
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 / $3,715.35 / $4,786.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,479.11 / $1,621.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $691.83 / $3,630.78
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
$741.31 / $1,047.13 / $1,548.82