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Idaho rates for HCPCS 64420

Injection Aa&/Strd Intercostal Nrv Single Lvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.21 / $284.35 / $7,045.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$756.00 / $1,116.35 / $1,116.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.15 / $133.03 / $238.95
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$91.74 / $91.74 / $91.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.29 / $446.29 / $447.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.02 / $118.63 / $188.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.26 / $152.61 / $305.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.93 / $157.44 / $229.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $154.21 / $171.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$965.45 / $1,753.89 / $2,148.87
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,846.65 / $2,638.58 / $3,267.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.40 / $139.06 / $213.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.60 / $170.20 / $248.56