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Idaho rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$850.29 / $850.29 / $852.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.17 / $737.77 / $1,226.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,844.43 / $3,645.61 / $5,001.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00