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Idaho rates for HCPCS 64790

Excision of neurofibroma or neurolemmoma; major peripheral nerve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,126.95 / $4,500.00 / $7,761.00
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
$806.36 / $1,395.53 / $2,302.54
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