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Idaho rates for HCPCS 54900

Epididymovasostomy Anast Epididymis Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,053.60 / $1,133.88 / $1,600.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.90 / $1,375.80 / $1,535.99
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.62 / $1,390.80 / $1,696.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,285.73 / $1,363.65 / $1,558.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,123.64 / $1,413.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,671.73 / $4,962.96 / $6,186.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,223.00 / $1,223.00 / $1,500.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.75 / $1,213.33 / $1,642.23