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Idaho rates for HCPCS 64862

Suture Lumbar Plexus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,358.86 / $2,098.76 / $3,297.07
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
$1,513.84 / $2,077.73 / $2,396.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,309.03 / $2,370.77 / $3,791.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,217.60 / $2,419.19 / $3,179.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,892.01 / $2,380.27
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
$2,335.21 / $2,747.31 / $3,179.79
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
$1,512.40 / $2,109.41 / $2,913.11