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Idaho rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

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
$747.59 / $985.58 / $1,495.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.23 / $1,094.98 / $1,312.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.96 / $1,290.20 / $1,730.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,185.92 / $1,293.73 / $1,712.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,016.47 / $1,278.79
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
$1,249.76 / $1,470.30 / $1,712.45
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
$741.23 / $1,091.26 / $1,530.20