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Idaho rates for HCPCS 45121

Prctect Compl W/Stot/Tot Colct W/Mlt Bxs

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
$1,703.93 / $2,360.32 / $5,007.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.91 / $2,647.48 / $3,262.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,791.45 / $3,021.21 / $5,307.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,808.42 / $2,978.62 / $3,404.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,364.01 / $2,974.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,968.02 / $3,470.82 / $3,529.20
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
$1,821.95 / $2,479.88 / $3,763.65