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Idaho rates for HCPCS 69740

Sutr Nrv Itprl W/Wo Grf/Dcmprn Lat Geniculate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,543.17 / $1,704.41 / $2,081.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,626.53 / $1,991.09 / $2,222.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,332.78 / $2,021.45 / $2,344.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.27 / $1,897.93 / $2,250.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,605.94 / $2,020.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.18 / $1,787.18 / $1,897.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.20 / $1,617.36 / $2,401.73