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Idaho rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

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
$1,700.63 / $2,357.32 / $3,464.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.01 / $2,576.00 / $2,979.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,592.68 / $3,031.43 / $4,157.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,731.03 / $2,979.31 / $3,955.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,342.81 / $2,947.41
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
$2,876.25 / $3,383.82 / $3,955.57
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
$1,669.31 / $2,373.11 / $3,460.81