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Idaho rates for HCPCS 23101

Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,805.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.23 / $626.09 / $932.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.00 / $694.13 / $799.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.10 / $809.99 / $1,101.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$755.21 / $823.86 / $1,073.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $644.54 / $727.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.98 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.97 / $936.43 / $1,073.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.73 / $684.32 / $973.84