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Idaho rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.43 / $1,991.92 / $3,227.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.01 / $2,370.51 / $2,993.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,484.89 / $2,743.41 / $3,873.05
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,483.92 / $2,709.74 / $3,680.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,174.67 / $2,735.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,072.74 / $7,629.08 / $12,587.97
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.57 / $3,077.23 / $3,680.85
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
$1,707.34 / $2,348.84 / $3,324.83