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Idaho rates for HCPCS 21198

Osteotomy Mandible Segmental

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.39 / $1,641.59 / $2,143.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.28 / $3,502.28 / $3,512.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.56 / $1,600.74 / $2,010.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.03 / $1,896.42 / $2,572.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.64 / $1,772.33 / $2,418.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,418.34 / $1,784.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,662.17 / $14,097.25 / $17,807.80
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.91 / $2,012.83 / $2,418.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.67 / $1,684.61 / $2,533.57