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Idaho rates for HCPCS L0859

Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.79 / $1,201.76 / $1,201.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.81 / $969.19 / $969.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.51 / $707.51 / $1,921.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.03 / $966.76 / $1,372.45
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.21 / $1,303.83 / $1,372.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,012.87 / $1,206.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,201.76 / $1,340.28 / $2,010.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.72 / $1,001.89 / $1,441.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.05 / $684.70 / $1,063.54