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Idaho rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$868.57 / $1,187.14 / $1,766.27
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
$959.95 / $1,297.33 / $1,544.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.36 / $1,546.90 / $2,119.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.24 / $1,489.36 / $2,017.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,194.76 / $1,348.92
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
$1,436.70 / $1,690.24 / $2,017.70
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
$911.31 / $1,283.35 / $1,826.32