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Idaho rates for HCPCS 63042

Lamot Prtl Ffd Exc Disc Reexpl 1 Ntrspc Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,635.52 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,142.16 / $8,142.16 / $8,142.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.11 / $2,311.98 / $3,666.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,653.11 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$14,492.76 / $26,042.39 / $33,802.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00