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Idaho rates for HCPCS 21210

Graft Bone Nasal/Maxillary/Malar Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,722.60 / $4,375.52 / $4,805.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$853.18 / $1,845.02 / $3,676.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,778.05 / $4,778.05 / $4,791.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.03 / $1,927.60 / $3,340.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.55 / $1,807.11 / $4,443.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.63 / $2,796.14 / $3,389.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,413.17 / $3,035.94
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
$1,288.28 / $2,470.78 / $3,901.67
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
$2,147.75 / $2,961.45 / $4,560.62