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Idaho rates for HCPCS 21089

Unlisted maxillofacial prosthetic procedure

Facilitymedian $437 · 10th–90th $132–$1,8200%10%10th90th$437Professionalmedian $240 · 10th–90th $30–$5890%10%10th90th$240$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

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