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Idaho rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

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
$656.46 / $1,036.02 / $1,643.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.18 / $789.18 / $791.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.17 / $1,048.96 / $1,352.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$637.69 / $1,312.66 / $1,877.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,038.60 / $1,295.33 / $1,570.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,117.53 / $1,261.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,749.17 / $3,789.62 / $4,803.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,099.06 / $1,378.35 / $1,667.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.60 / $1,163.24 / $1,655.37