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Idaho rates for HCPCS 50396

Manometric studies through nephrostomy or pyelostomy tube, or indwelling ureteral catheter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $831.76 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $223.87 / $234.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $186.21 / $223.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $229.09 / $1,412.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $190.55 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,548.82 / $2,187.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $186.21 / $223.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $204.17 / $1,621.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $4,168.69 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $165.96 / $239.88