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Idaho rates for HCPCS 21445

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.14 / $1,026.40 / $1,663.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.85 / $1,064.00 / $1,359.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,002.33 / $1,233.42 / $1,518.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,066.82 / $1,342.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.66 / $1,320.57 / $1,636.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.47 / $1,154.40 / $1,642.80