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Idaho rates for HCPCS 58662

Laps Fulg/Exc Ovary Viscera/Peritoneal Surface

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.13 / $9,312.86 / $18,735.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.09 / $1,237.08 / $1,583.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,788.65 / $14,025.11 / $17,482.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00