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Idaho rates for HCPCS L8600

Implantable Breast Prosthesis Silicone Or Equal (Special Coverage Instructions Apply. See Cim: 35-47 And Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.19 / $875.60 / $4,080.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.32 / $735.80 / $5,016.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.36 / $666.06 / $666.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.15 / $566.15 / $686.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.39 / $679.52 / $875.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$787.79 / $831.55 / $875.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $645.98 / $769.32
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.72 / $612.72 / $919.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.71 / $373.91 / $593.02