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Idaho rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

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
$1,521.19 / $2,171.08 / $3,101.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.00 / $2,294.00 / $2,663.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.82 / $2,697.06 / $3,721.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,446.03 / $2,668.39 / $3,541.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,097.85 / $2,639.23
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
$2,577.12 / $3,031.91 / $3,541.79
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
$1,590.69 / $2,298.40 / $3,138.21