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Idaho rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.58 / $1,152.74 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.15 / $576.10 / $968.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.04 / $1,674.04 / $1,678.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.45 / $638.66 / $854.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.62 / $767.20 / $1,081.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.29 / $748.28 / $907.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $649.70 / $817.36
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.66 / $7,582.86 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.38 / $788.04 / $1,002.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.84 / $737.36 / $1,054.05