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Idaho rates for HCPCS 54164

Frenulotomy of penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.88 / $457.88 / $5,519.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.25 / $333.44 / $414.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.73 / $4,962.96 / $6,186.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00