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Idaho rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.11 / $1,417.45 / $2,225.82
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
$1,180.95 / $1,626.20 / $1,948.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.86 / $1,869.41 / $2,670.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,757.53 / $1,917.31 / $2,543.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,506.55 / $1,895.34
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
$1,852.54 / $2,179.46 / $2,543.58
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
$1,130.04 / $1,603.99 / $2,277.67