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Idaho rates for HCPCS 21355

Percutaneous Tx Malar Area Fracture

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
$415.59 / $584.24 / $914.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,674.04 / $1,674.04 / $1,678.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.27 / $549.37 / $747.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.49 / $670.86 / $969.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.17 / $722.12 / $875.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $622.36 / $782.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,803.94 / $7,766.93 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.83 / $769.90 / $932.89
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
$465.88 / $637.52 / $900.21