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Idaho rates for HCPCS C2615

Sealant, pulmonary, liquid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,125.84 / $1,125.84 / $1,125.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.37 / $239.37 / $1,125.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $239.37 / $306.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00