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Idaho rates for HCPCS 58262

Vag Hyst 250 Gm/< W/Rmvl Tube&/Ovary

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.03 / $5,519.00 / $10,662.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.39 / $1,617.18 / $1,873.78
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