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Idaho rates for HCPCS 21750

Close Median Sternotomy Sep W/Wo Debridement Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.19 / $1,236.71 / $1,637.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,480.35 / $9,397.43 / $15,505.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00