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Idaho rates for HCPCS 87625

Iadna Human Papillomavirus Types 16 & 18 Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.64 / $94.09 / $94.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.11 / $39.64 / $79.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.63 / $84.35 / $158.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.38 / $30.17 / $67.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.79 / $79.06 / $126.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $40.54 / $48.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.03 / $36.50 / $79.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.83 / $91.24 / $149.22
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.70 / $71.43 / $71.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.03 / $20.05 / $47.76