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Idaho rates for HCPCS G2004

Post-d/c h vst new pt 60 m

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.96 / $146.96 / $146.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.55 / $163.06 / $224.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.06 / $141.06 / $141.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.55 / $216.88 / $257.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.98 / $268.31 / $306.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $286.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.45 / $235.82 / $252.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.18 / $236.44 / $323.32