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Idaho rates for HCPCS 58267

Vag Hyst 250 Gm/< W/Colpo-Urtcstopexy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.42 / $1,253.05 / $1,866.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,496.67 / $1,832.12 / $2,045.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.98 / $1,866.52 / $2,145.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.43 / $1,820.46 / $2,080.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,479.72 / $1,861.59
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.56 / $1,648.56 / $2,010.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.69 / $1,390.95 / $2,145.41