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Idaho rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,412.54 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $1,737.80 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $741.31 / $1,412.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $3,630.78 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $2,630.27 / $4,466.84