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Idaho rates for HCPCS 64818

Sympathectomy Lumbar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.59 / $982.59 / $1,873.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.81 / $1,124.00 / $1,359.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$697.02 / $1,257.72 / $2,153.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.98 / $1,381.07 / $1,811.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,219.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,332.47 / $1,567.61 / $1,811.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,700.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$712.79 / $1,081.92 / $1,510.18