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Idaho rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

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
$1,020.27 / $1,379.87 / $2,058.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.06 / $1,488.95 / $1,768.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.88 / $1,741.33 / $2,478.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.04 / $1,770.59 / $2,353.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,392.15 / $1,751.41
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
$1,712.61 / $2,014.83 / $2,353.07
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
$1,097.06 / $1,525.16 / $2,152.05