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Idaho rates for HCPCS 21159

Rcnstj Midface Lefort Iii W/Fhd W/O Lefort I

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
$2,582.27 / $3,968.04 / $5,346.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,888.07 / $3,936.45 / $4,616.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,455.38 / $5,085.70 / $6,467.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,138.45 / $4,514.67 / $6,105.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,588.89 / $4,515.05
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
$4,388.30 / $5,162.71 / $6,105.44
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
$2,736.14 / $3,849.45 / $5,549.95