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Idaho rates for HCPCS 83992

Phencyclidine (PCP)

Facilitymedian $55 · 10th–90th $25–$850%10%20%10th90th$55Professionalmedian $26 · 10th–90th $9–$660%10%10th90th$26$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $56.23 / $85.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $57.54 / $66.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $39.81 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.05 / $22.91 / $30.90
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $16.60 / $27.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $81.28
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45.71 / $54.95 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $57.54 / $66.07
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $54.95 / $91.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $18.20 / $30.20