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Idaho rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.40 / $361.39 / $821.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.72 / $303.69 / $303.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.32 / $274.27 / $274.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $233.13 / $282.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.40 / $270.24 / $361.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.14 / $343.21 / $361.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $269.89 / $325.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.89 / $252.89 / $379.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.36 / $153.97 / $244.19