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Idaho rates for HCPCS 64713

Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.38 / $1,110.38 / $1,113.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.78 / $1,402.17 / $2,178.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,403.52 / $4,867.04 / $5,994.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00