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Idaho rates for HCPCS 21188

Rcnstj Mdfc Oth/Thn Lefort Osteot & Bone Grafts

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
$1,640.73 / $2,281.12 / $3,290.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,809.88 / $2,416.92 / $2,920.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,511.36 / $2,863.78 / $3,971.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,526.61 / $2,756.30 / $3,750.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,209.01 / $2,779.08
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
$2,665.50 / $3,135.88 / $3,750.51
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
$1,753.05 / $2,421.64 / $3,446.17