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Idaho rates for HCPCS 64772

Transection or avulsion of other spinal nerve, extradural

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.44 / $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
$535.54 / $972.90 / $1,558.25
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