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Idaho rates for HCPCS 12021

Tx Superficial Wound Dehiscence W/Packing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.88 / $212.93 / $269.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.21 / $218.88 / $282.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.36 / $212.93 / $288.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.83 / $274.94 / $342.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $274.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.62 / $958.04 / $1,244.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.39 / $262.74 / $330.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.10 / $233.28 / $294.00