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Idaho rates for HCPCS 58950

Rescj Ovarian/Tubal/Peritoneal Malignancy W/Bso

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.16 / $1,942.39 / $2,170.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00