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Idaho rates for HCPCS 21025

Excision of bone (eg, for osteomyelitis or bone abscess); mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.11 / $1,942.41 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.52 / $1,046.40 / $1,632.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.28 / $3,502.28 / $3,512.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.30 / $1,125.73 / $1,419.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.01 / $1,368.16 / $1,900.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.38 / $1,311.98 / $1,762.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,127.63 / $1,273.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,126.82 / $1,357.63 / $1,703.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.70 / $1,253.45 / $1,936.60