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Idaho rates for HCPCS 62120

Rpr Encephalocele Skull Vault W/Cranioplasty

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
$2,114.13 / $2,798.91 / $4,849.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,813.79 / $3,444.45 / $3,845.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,175.79 / $3,451.82 / $5,140.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,372.02 / $3,372.02 / $4,087.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $3,119.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,212.95 / $4,212.95 / $4,671.51
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
$1,836.55 / $2,555.17 / $4,304.72