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Idaho rates for HCPCS 47715

Excision Choledochal Cyst

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
$1,300.49 / $1,813.37 / $3,823.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.17 / $2,022.73 / $2,495.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.49 / $2,321.11 / $4,053.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,142.87 / $2,272.73 / $2,597.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,036.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,263.83 / $2,649.22 / $2,693.78
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
$1,363.65 / $1,854.24 / $2,875.64