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Idaho rates for HCPCS 21366

Open Tx Comp Fracture Malar Area W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.81 / $1,802.84 / $2,600.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,409.89 / $1,879.85 / $2,232.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,204.92 / $2,225.29 / $3,120.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,060.69 / $2,248.02 / $2,975.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,767.08 / $2,223.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,662.17 / $14,534.58 / $18,446.52
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,168.66 / $2,551.36 / $2,975.19
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
$1,286.63 / $1,894.21 / $2,642.03