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Idaho rates for HCPCS A4649

Surgical Supply; Miscellaneous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.23 / $0.23 / $513.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $2.87
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $120.00 / $219.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.77 / $12.77 / $12.77