go back

Idaho rates for HCPCS 54690

Laparoscopy, surgical; orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,657.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.15 / $928.96 / $1,311.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.31 / $1,127.81 / $1,259.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.40 / $1,138.92 / $1,444.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.03 / $1,116.84 / $1,276.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $920.34 / $1,157.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,788.65 / $14,025.11 / $17,482.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.54 / $1,002.54 / $1,229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.54 / $1,059.85 / $1,443.71