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Idaho rates for HCPCS 64520

Injection Anes Lmbr/Thrc Paravertbrl Sympathetic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.60 / $672.13 / $4,500.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,306.88 / $1,306.88 / $1,306.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.40 / $190.96 / $564.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$218.00 / $218.00 / $218.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$573.77 / $573.77 / $575.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.23 / $186.82 / $390.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.35 / $227.95 / $593.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.09 / $360.79 / $437.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $311.05 / $391.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,595.57 / $2,281.73 / $2,842.02
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,368.01 / $3,422.61 / $4,306.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.21 / $321.08 / $473.69
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
$207.06 / $307.93 / $420.22