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Idaho rates for HCPCS 21401

Closed Tx Fx Orbit Except Blowout W/Manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.98 / $663.92 / $1,036.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.18 / $789.18 / $791.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.19 / $565.13 / $887.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.20 / $663.92 / $1,140.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.17 / $819.98 / $994.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $702.12 / $883.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.94 / $3,749.50 / $4,629.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.66 / $768.52 / $1,059.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.19 / $751.39 / $1,073.74