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Idaho rates for HCPCS 58752

Tubouterine Implantation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.25 / $1,064.34 / $1,584.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.72 / $1,556.75 / $1,738.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.47 / $1,558.30 / $1,799.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,456.52 / $1,544.80 / $1,765.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,255.56 / $1,579.58
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,398.95 / $1,398.95 / $1,705.16
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
$914.76 / $1,183.06 / $1,866.60