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Idaho rates for HCPCS 43882

Revision/Rmvl Gastric Nstim Eltrde Antrum Open

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
$621.76 / $1,054.18 / $2,186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.13 / $1,181.35 / $1,424.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.84 / $1,828.43 / $2,798.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.33 / $1,606.27 / $1,622.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.73 / $1,135.15 / $1,697.95