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Idaho rates for HCPCS 54840

Excision of spermatocele, with or without epididymectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $3,388.44 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,630.27 / $5,888.44
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,290.87 / $3,981.07 / $7,943.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $676.08 / $4,466.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $4,677.35 / $6,456.54
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,495.41 / $7,413.10 / $9,772.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $12,302.69 / $12,302.69