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Idaho rates for HCPCS 64553

Prq Impltj Neurostimulator Eltrd Cranial Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.95 / $929.24 / $6,159.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,913.13 / $10,913.13 / $10,943.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.75 / $643.34 / $4,128.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.95 / $579.32 / $6,467.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.00 / $1,115.15 / $6,866.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $5,058.47 / $6,363.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,496.87 / $31,165.89 / $41,273.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.16 / $2,153.38 / $7,734.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $163,191.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.49 / $385.80 / $3,565.00