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Idaho rates for HCPCS J0567

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.17 / $118.17 / $118.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $119.58 / $120.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $119.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.58 / $128.24 / $173.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.00 / $78.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.98 / $102.98 / $126.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.58 / $119.58 / $149.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.24 / $117.24 / $117.24