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Idaho rates for HCPCS 48540

Int Anast Pancreatic Cyst Gi Tract Roux-En-Y

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
$1,281.00 / $1,771.34 / $3,752.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.29 / $1,996.61 / $2,449.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,303.57 / $2,267.32 / $3,978.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.39 / $2,230.87 / $2,549.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,769.59 / $2,226.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,220.78 / $2,599.94 / $2,643.69
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
$1,373.75 / $1,826.82 / $2,829.77