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Idaho rates for HCPCS 21400

Clsd Tx Fx Orbit Except Blowout W/O Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.17 / $255.23 / $427.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.78 / $327.78 / $328.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.37 / $267.89 / $348.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.78 / $303.01 / $470.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.73 / $357.06 / $432.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $305.20 / $383.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$971.20 / $1,253.59 / $1,674.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.45 / $375.04 / $446.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.49 / $300.04 / $409.68