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Idaho rates for HCPCS 64905

Nerve pedicle transfer; first stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $5,495.41 / $16,218.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $6,456.54 / $17,378.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,584.89 / $3,019.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $15,135.61 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $10,232.93 / $27,542.29