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Idaho rates for HCPCS C9250

Human Plasma Fibrin Sealant Vapor-Heated Solvent Detergent (Artiss) 2 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.54 / $187.57 / $189.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.13 / $187.57 / $228.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $187.57 / $187.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.93 / $189.78 / $242.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.88 / $174.46 / $227.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.22 / $264.58 / $361.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.31 / $138.31 / $180.54