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Idaho rates for HCPCS 23155

Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.97 / $1,110.34 / $1,624.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,214.76 / $4,214.76 / $4,226.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$898.12 / $1,186.00 / $1,392.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.84 / $1,386.65 / $1,876.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,306.54 / $1,425.31 / $1,864.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,114.56 / $1,402.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,138.70 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.82 / $1,616.26 / $1,864.35
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
$866.41 / $1,194.44 / $1,699.78