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Idaho rates for HCPCS 21406

Open treatment of fracture of orbit, except blowout; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.90 / $775.47 / $1,188.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,502.28 / $3,502.28 / $3,512.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.49 / $856.65 / $1,017.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.09 / $1,010.57 / $1,426.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$950.02 / $1,036.39 / $1,363.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $813.86 / $1,023.89
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
$998.78 / $1,175.04 / $1,363.83
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
$596.87 / $853.74 / $1,171.80