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Idaho rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $371.54 / $724.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $229.09 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $549.54 / $776.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $112.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $426.58 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54