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Idaho rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.72 / $1,526.74 / $2,516.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.45 / $1,809.23 / $2,131.89
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,854.67 / $2,023.27 / $2,729.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,622.46 / $2,041.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.98 / $2,294.09 / $2,729.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,316.52 / $1,803.88 / $2,567.06