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Idaho rates for HCPCS 74355

Percutaneous Placement Enteroclysis Tube Rs&I

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.07 / $162.88 / $265.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.14 / $200.49 / $248.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.55 / $251.61 / $309.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.91 / $171.91 / $200.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $172.97 / $3,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.57 / $271.26 / $278.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.44 / $154.11 / $267.36