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Idaho rates for HCPCS 53420

Urtp 2-Stg Rcnstj/Rpr Prostat/Urethra 1st Stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,059.86 / $1,095.80 / $1,908.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,181.63 / $1,446.47 / $1,614.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.32 / $1,613.06 / $2,023.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.04 / $1,427.62 / $1,631.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,177.54 / $1,481.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,499.79 / $12,228.99 / $15,681.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,282.33 / $1,282.33 / $1,575.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.98 / $1,131.14 / $1,798.21