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Idaho rates for HCPCS 54692

Laparoscopy, surgical; orchiopexy for intra-abdominal testis

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
$761.00 / $1,069.82 / $1,512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.14 / $1,301.43 / $1,452.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$859.53 / $1,314.10 / $1,660.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.55 / $1,284.97 / $1,468.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,059.35 / $1,332.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,401.44 / $14,187.47 / $17,482.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.92 / $1,152.92 / $1,416.61
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
$790.36 / $1,102.01 / $1,597.93