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Idaho rates for HCPCS 57120

Colpocleisis (Le Fort type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.41 / $1,102.41 / $6,746.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$615.41 / $926.40 / $1,102.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,966.37 / $12,222.47 / $15,458.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00