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Idaho rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.82 / $765.00 / $3,871.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.81 / $153.97 / $330.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.59 / $194.14 / $216.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.50 / $197.09 / $422.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.84 / $165.29 / $188.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $135.28 / $170.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.91 / $1,930.87 / $5,142.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.16 / $193.95 / $193.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.82 / $162.66 / $245.69