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Idaho rates for HCPCS A4550

Surgical Trays (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.32 / $17.32 / $17.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $16.34 / $27.75
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
$16.71 / $21.39 / $31.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $33.00 / $60.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $21.48 / $44.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.05 / $12.77 / $18.94