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Idaho rates for HCPCS 61613

Obltrj Carotid Arysm Artven Carotid Fistula Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,082.27 / $4,294.97 / $7,616.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,374.07 / $5,354.45 / $5,977.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,082.27 / $5,722.26 / $8,073.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,316.35 / $5,638.55 / $6,444.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $4,327.34 / $5,444.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,638.34 / $6,638.34 / $7,329.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,441.87 / $4,729.00 / $7,057.39