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Idaho rates for HCPCS 55874

Transperineal Plmt Biodegradable Matrl 1/Mlt Njx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.10 / $2,862.00 / $6,922.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.13 / $2,761.41 / $5,817.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.94 / $316.99 / $5,880.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.48 / $472.39 / $6,108.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.05 / $327.87 / $5,291.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,730.70 / $4,693.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,704.85 / $12,228.99 / $15,681.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.10 / $309.14 / $5,351.80
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
$3,309.40 / $5,273.93 / $7,123.52