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Idaho rates for HCPCS 12021

Treatment of superficial wound dehiscence; with packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $194.98 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $426.58 / $1,047.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $338.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $204.17 / $275.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $208.93 / $302.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $371.54
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
$676.08 / $891.25 / $1,288.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $275.42 / $371.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $208.93 / $288.40