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Idaho rates for HCPCS 54840

Excision Spermatocele W/Wo Epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.64 / $4,500.00 / $7,624.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.32 / $559.49 / $824.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.73 / $4,962.96 / $6,186.02
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,217.60 / $7,444.44 / $9,623.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00