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Idaho rates for HCPCS 49606

Rpr Lg Omphalocele/Gastroschisis Rmvl Prosth

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
$1,108.70 / $1,533.61 / $3,258.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.88 / $1,759.19 / $2,121.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.22 / $1,963.02 / $3,454.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,831.71 / $1,942.73 / $2,220.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,939.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,931.85 / $2,260.39 / $2,298.42
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
$1,198.39 / $1,555.70 / $2,449.41