go back

Idaho rates for HCPCS 21172

Rcnstj Superior-Lateral Orbital Rim & Lower Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,978.40 / $2,631.93 / $4,135.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.61 / $2,975.98 / $3,533.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,925.45 / $3,368.87 / $4,755.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,434.48 / $3,642.63 / $4,727.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,799.61 / $3,522.09
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
$3,111.32 / $4,288.93 / $4,727.66
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
$1,985.50 / $2,940.85 / $4,117.18