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Idaho rates for HCPCS 21440

Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)

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
$441.68 / $764.40 / $1,418.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.45 / $723.45 / $725.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.79 / $858.66 / $1,138.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.82 / $931.87 / $1,489.01
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.10 / $1,197.11 / $1,451.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,028.91 / $1,294.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.66 / $7,582.86 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$978.99 / $1,215.03 / $1,520.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.95 / $876.71 / $1,265.33