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Idaho rates for HCPCS 63709

Rpr Dural/Csf Leak/Pseudomeningocele W/Lam

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,588.44 / $3,121.78 / $4,500.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.86 / $1,992.06 / $3,148.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,700.00 / $26,104.00