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Idaho rates for HCPCS 61720

Crtj Les Strtctc Burr Globus Pallidus/Thalamus

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
$1,563.34 / $1,645.66 / $2,937.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.81 / $2,055.09 / $2,294.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,563.34 / $2,222.30 / $3,114.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.77 / $2,085.77 / $2,528.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,697.89 / $2,136.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.13 / $15,806.20 / $20,605.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,592.02 / $2,592.02 / $2,844.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.68 / $1,823.78 / $2,716.88