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Idaho rates for HCPCS 64517

Injection, anesthetic agent; superior hypogastric plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.69 / $199.03 / $476.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.77 / $573.77 / $575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.83 / $224.59 / $334.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.95 / $271.97 / $499.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.82 / $309.56 / $375.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $269.70 / $339.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.57 / $2,281.73 / $2,842.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.24 / $299.63 / $399.22
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
$195.12 / $265.55 / $388.37