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Idaho rates for HCPCS 58976

Gamete, zygote, or embryo intrafallopian transfer, any method

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $302.00 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $478.63 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $416.87 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $363.08 / $446.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $416.87 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,023.29
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $354.81 / $426.58
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $323.59 / $457.09