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Idaho rates for HCPCS 21247

Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)

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
$1,615.78 / $2,316.78 / $3,286.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.67 / $2,413.23 / $2,864.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,515.04 / $2,909.50 / $3,943.38
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,534.09 / $2,764.46 / $3,751.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $2,218.78 / $2,791.37
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
$2,667.77 / $3,138.55 / $3,751.67
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
$1,745.34 / $2,433.83 / $3,442.13