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Idaho rates for HCPCS 10121

Incision and removal of foreign body, subcutaneous tissues; complicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,786.30 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $269.15 / $524.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $2,570.40 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $371.54 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $302.00 / $426.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $295.12 / $501.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $346.74 / $549.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $3,630.78 / $5,248.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $389.05 / $575.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $281.84 / $3,311.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $295.12 / $457.09