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Idaho rates for HCPCS 64856

Sutr Prph Nrv Arm/Leg Xcp Sciatic W/Trpos

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $5,519.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.86 / $1,437.45 / $2,432.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,709.09 / $3,709.09 / $3,719.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.63 / $1,483.51 / $1,768.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.31 / $1,714.40 / $2,797.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,635.84 / $1,784.56 / $2,343.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,569.59 / $1,748.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,634.13 / $15,806.20 / $20,605.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,716.58 / $2,019.50 / $2,343.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,110.74 / $1,467.06 / $2,046.11