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Idaho rates for HCPCS 61651

Evasc Intracranial Prolng Admn Rx Agent Art Addl

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
$293.76 / $376.01 / $728.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $17,585.00 / $18,758.00