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Idaho rates for HCPCS 58960

Lapt Stg/Restg Ovarian Tubal/Prim Mal 2nd Look

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $6,899.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.45 / $1,144.39 / $1,725.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.84 / $1,657.28 / $1,850.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.39 / $1,678.05 / $1,870.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.16 / $1,609.16 / $1,950.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,386.01 / $1,743.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.64 / $1,540.64 / $1,862.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,800.00 / $26,422.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.48 / $1,356.31 / $1,998.23