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Idaho rates for HCPCS 52400

Cysto Inc Fulg/Rescj Urtl Valves/Folds

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.04 / $950.67 / $1,146.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,399.76 / $8,522.07 / $10,689.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00