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Idaho rates for HCPCS 82642

Dihydrotestosterone (DHT)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.79 / $55.25 / $67.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $57.10 / $57.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.55 / $31.02 / $114.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.69 / $33.86 / $42.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.52 / $57.10 / $81.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.28 / $29.28 / $35.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.92 / $65.88 / $107.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.89 / $50.05 / $51.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.66 / $39.04