go back

Idaho rates for HCPCS 63197

Lam W/Cordotomy Sctj Spinothalamic Trc 1stg Thrc

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
$1,616.51 / $2,440.92 / $3,946.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.52 / $2,407.36 / $2,858.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.20 / $3,020.64 / $4,538.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,803.09 / $3,057.91 / $3,820.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,279.69 / $2,868.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,960.66 / $3,483.13 / $3,820.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,700.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,823.39 / $2,528.01 / $3,406.53