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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
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,000.00 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $9,772.37 / $14,791.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,479.11 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,202.26 / $1,445.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $1,548.82 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,202.26 / $1,513.56
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
$10,471.29 / $14,125.38 / $18,197.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,230.27 / $1,445.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,318.26 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $26,915.35 / $29,512.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,071.52 / $1,584.89