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Idaho rates for HCPCS 21150

Rcnstj Midface Lefort Ii Anterior Intrusion

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
$1,643.07 / $2,316.64 / $3,392.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,439.02 / $4,439.02 / $4,451.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,851.30 / $2,508.71 / $2,915.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,557.73 / $2,953.06 / $4,070.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,628.02 / $2,866.93 / $3,877.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,277.55 / $2,865.31
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
$2,790.70 / $3,283.18 / $3,877.01
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
$1,797.39 / $2,601.48 / $4,078.07