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Idaho rates for HCPCS E1353

Regulator (Special Coverage Instructions Apply. See Cim: 60-4 And Mcm: 4107.9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.55 / $30.55 / $30.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $28.29 / $44.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.17 / $25.17 / $29.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.39 / $21.39 / $27.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.30 / $36.34 / $56.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.61 / $37.59 / $39.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.51 / $30.00 / $35.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.65 / $38.64 / $57.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.70 / $27.70 / $41.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $16.78 / $49.57