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Idaho rates for HCPCS A4470

Gravlee Jet Washer (Special Coverage Instructions Apply. See Cim: 50-4 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.82 / $3.82 / $3.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.56 / $3.82 / $6.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.57 / $3.57 / $3.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.59 / $4.71 / $6.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.00 / $3,500.00 / $3,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.73 / $4.73 / $9.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.65 / $2.81 / $4.17