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Idaho rates for HCPCS 21407

Open Tx Fx Orbit Except Blowout W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.16 / $918.62 / $1,322.35
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
$727.49 / $958.00 / $1,131.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.84 / $1,155.15 / $1,600.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,049.83 / $1,145.27 / $1,525.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $909.51 / $1,144.22
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
$1,094.53 / $1,287.68 / $1,525.93
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
$702.24 / $960.97 / $1,367.53