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Idaho rates for HCPCS 42955

Pharyngostomy Fstlj Pharynx Xtrnl Feeding

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.67 / $1,104.83 / $2,221.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.16 / $1,187.13 / $1,442.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.25 / $1,414.18 / $2,354.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.20 / $1,287.79 / $1,471.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,046.64 / $1,316.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,749.17 / $3,778.52 / $4,803.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,292.81 / $1,520.95 / $1,548.30
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
$821.52 / $1,063.29 / $1,605.79