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Idaho rates for HCPCS 49062

Drg Xtraperitoneal Lymphocele Periton Cavity Opn

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
$752.30 / $1,046.23 / $2,205.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.76 / $1,165.77 / $1,436.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.41 / $1,339.17 / $2,337.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,244.63 / $1,320.06 / $1,508.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,183.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,313.21 / $1,532.67 / $1,558.45
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
$788.17 / $1,022.40 / $1,617.69