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Idaho rates for HCPCS 84150

Prostaglandin, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.92 / $342.00 / $368.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.24 / $81.45 / $81.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.72 / $44.25 / $162.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.36 / $47.91 / $59.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.90 / $46.43 / $85.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $41.77 / $50.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.77 / $41.77 / $41.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.66 / $83.54 / $150.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.50 / $71.59 / $73.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $17.54 / $41.08