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Idaho rates for HCPCS 47701

Portoenterostomy (eg, Kasai procedure)

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
$1,584.89 / $1,905.46 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $6,606.93 / $7,943.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $3,235.94 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $2,570.40 / $3,548.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $4,897.79
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,884.03 / $3,548.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,388.44 / $3,715.35
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,513.56 / $3,388.44
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
$1,737.80 / $2,398.83 / $3,630.78