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Idaho rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $8,622.00 / $20,716.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.90 / $1,719.22 / $2,767.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,501.84 / $2,032.88 / $2,565.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.00 / $2,423.58 / $3,349.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,138.07 / $2,332.44 / $3,161.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,869.38 / $2,351.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,662.17 / $14,534.58 / $18,446.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,229.09 / $2,649.34 / $3,161.86
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
$1,461.48 / $2,012.91 / $2,940.67