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Idaho rates for HCPCS 23174

Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.65 / $1,057.71 / $1,555.14
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
$858.67 / $1,129.00 / $1,331.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.74 / $1,322.71 / $1,866.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,254.78 / $1,367.34 / $1,786.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,070.48 / $1,346.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,739.52 / $16,086.54 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.01 / $1,552.95 / $1,786.65
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
$818.52 / $1,140.34 / $1,622.81