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Idaho rates for HCPCS 54162

Lysis or excision of penile post-circumcision adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,890.45 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $3,235.94 / $5,248.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $416.87 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $457.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $457.09 / $3,890.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $389.05 / $524.81
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
$3,630.78 / $4,677.35 / $6,456.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $416.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $331.13 / $489.78