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Idaho rates for HCPCS 21010

Arthrotomy, temporomandibular joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $954.99 / $1,548.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,981.07 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,412.54 / $1,513.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,047.13 / $1,318.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,230.27 / $1,905.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,288.25 / $1,698.24
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
$5,754.40 / $7,585.78 / $10,232.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,412.54 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $851.14 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $5,495.41 / $12,302.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,096.48 / $1,513.56