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Idaho rates for HCPCS 43400

Ligation, direct, esophageal varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,487.32 / $2,056.42 / $4,364.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,392.59 / $2,359.96 / $2,845.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.70 / $2,632.22 / $4,626.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,449.23 / $2,597.67 / $2,968.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,061.08 / $2,592.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,586.75 / $3,026.73 / $3,077.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,583.99 / $2,068.80 / $3,286.34