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Idaho rates for HCPCS 54420

Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.39 / $997.47 / $1,405.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.84 / $1,209.25 / $1,350.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.35 / $1,220.66 / $1,541.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,128.81 / $1,197.23 / $1,368.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $986.37 / $1,240.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,789.17 / $8,522.07 / $10,689.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,075.17 / $1,075.17 / $1,317.53
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
$733.70 / $1,012.50 / $1,499.76