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Idaho rates for HCPCS 63290

Lam Bx/Exc Ispi Neo Xdrl-Idrl Les Any Lvl

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
$2,654.09 / $3,993.73 / $6,408.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,935.20 / $3,913.60 / $4,701.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,610.94 / $4,758.13 / $7,369.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,541.93 / $4,954.84 / $6,194.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $4,161.76 / $4,637.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,801.30 / $5,648.59 / $6,194.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $12,000.00 / $65,746.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,069.63 / $4,281.35 / $5,654.61