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Idaho rates for HCPCS 43882

Revision or removal of gastric neurostimulator electrodes, antrum, open

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $812.83 / $1,230.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,479.11 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,202.26 / $1,621.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $1,122.02 / $2,290.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,445.44 / $1,621.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $776.25 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,047.13 / $1,698.24