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Idaho rates for HCPCS 64484

Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Ea Addl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.76 / $328.42 / $4,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,309.00 / $1,309.00 / $1,309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.59 / $109.75 / $303.08
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$72.27 / $116.94 / $210.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.42 / $101.09 / $193.56
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.79 / $140.28 / $303.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.59 / $175.07 / $226.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $152.13 / $191.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.10 / $122.17 / $230.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.84 / $152.88 / $207.21