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Idaho rates for HCPCS 50290

Excision Perinephric 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
$1,150.60 / $1,169.99 / $2,038.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.24 / $1,543.92 / $1,723.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,021.57 / $1,740.23 / $2,160.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.97 / $1,527.24 / $1,745.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,259.03 / $1,583.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.84 / $1,371.84 / $1,683.17
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
$936.16 / $1,268.22 / $1,919.55