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Idaho rates for HCPCS A4563

Rectal control system for vaginal insertion, for long term use, includes pump and all supplies and accessories, any type each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.90 / $2,182.62 / $2,182.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $120.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $120.00 / $125.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.31 / $1,608.14 / $2,182.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.33 / $1,608.14 / $1,608.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,608.14 / $1,608.14 / $3,135.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,530.65 / $1,570.45 / $2,355.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,125.70 / $1,168.29 / $1,688.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.50 / $69.12 / $109.44