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Idaho rates for HCPCS 48547

Duodenal exclusion with gastrojejunostomy for pancreatic injury

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 / $1,949.84 / $4,466.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $6,760.83 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $3,467.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,630.27 / $3,630.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $2,630.27 / $5,011.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,862.09 / $3,019.95 / $3,630.78
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
$2,570.40 / $3,467.37 / $3,801.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,548.82 / $3,467.37
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
$1,778.28 / $2,511.89 / $3,715.35