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Idaho rates for HCPCS 58760

Fimbrioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $954.99 / $1,445.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,884.03 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,288.25 / $1,584.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,513.56 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,380.38 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,318.26 / $1,584.89
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,122.02 / $1,659.59