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Idaho rates for HCPCS D0330

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Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.24 / $47.90 / $58.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.64 / $50.64 / $50.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.40 / $128.40 / $150.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.79 / $42.81 / $55.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,900.00