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Idaho rates for HCPCS 64575

Open Implantation Nea Peripheral Nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,912.60 / $11,912.60 / $11,946.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.76 / $542.16 / $887.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,496.87 / $31,165.89 / $41,273.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $12,000.00 / $163,191.00