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Idaho rates for HCPCS 84275

Sialic acid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.25 / $24.25 / $34.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.41 / $26.21 / $26.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.11 / $14.25 / $52.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.21 / $15.69 / $19.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.63 / $23.46 / $27.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.44 / $13.44 / $16.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.16 / $30.24 / $49.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.42 / $23.28 / $23.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.64 / $7.99 / $29.33