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Idaho rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.20 / $21.38 / $21.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $15.14 / $26.92
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $165.96 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $25.12 / $38.02
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.13 / $26.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $44.67
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.88 / $17.78