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Idaho rates for HCPCS 21408

Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.90 / $1,282.72 / $1,840.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.69 / $1,329.53 / $1,578.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.03 / $1,593.37 / $2,208.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,459.72 / $1,592.42 / $2,107.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,251.83 / $1,574.88
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
$1,536.42 / $1,807.55 / $2,107.63
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
$972.36 / $1,360.83 / $1,934.10