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Idaho rates for HCPCS 21390

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Allplstc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $5,519.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.28 / $3,502.28 / $3,512.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$742.24 / $1,402.94 / $1,997.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,660.78 / $14,097.25 / $17,807.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00