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Idaho rates for HCPCS A4301

Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.11 / $33.11 / $33.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $630.96 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.04 / $2.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $34.67 / $43.65
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.88 / $38.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62