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Idaho rates for HCPCS E0300

Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,828.39 / $2,828.39 / $2,828.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.20 / $2,828.39 / $3,513.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.00 / $1,950.00 / $2,554.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.82 / $1,950.00 / $1,950.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,085.77 / $1,748.02 / $3,404.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.93 / $311.50 / $311.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.08 / $176.08 / $245.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.33 / $1,340.26 / $4,280.77