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Idaho rates for HCPCS 21050

Condylectomy, temporomandibular joint (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.75 / $1,242.40 / $1,793.28
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
$979.04 / $1,305.38 / $1,570.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.09 / $1,524.29 / $2,164.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,369.04 / $1,525.50
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
$1,465.03 / $1,723.57 / $2,049.75
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
$934.20 / $1,310.92 / $1,865.54