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Idaho rates for HCPCS C1052

Hemostatic agent, gastrointestinal, topical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.98 / $660.98 / $660.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.98 / $660.98 / $660.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00