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Idaho rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.89 / $162.91 / $371.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.55 / $137.41 / $264.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.89 / $184.10 / $371.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.21 / $173.89 / $310.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $221.15 / $278.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.81 / $584.88 / $748.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.95 / $134.03 / $303.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.18 / $162.54 / $253.32