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Idaho rates for HCPCS 62120

Repair of encephalocele, skull vault, including cranioplasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,818.38 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $6,456.54 / $7,762.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $3,981.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,570.40 / $3,162.28 / $3,801.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $3,630.78 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $3,715.35 / $4,265.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $4,365.16 / $4,786.30
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $3,981.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,570.40 / $3,801.89