go back

Idaho rates for HCPCS 23397

Muscle Transfer Shoulder/Upper Arm Multiple

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
$1,148.84 / $1,617.23 / $2,310.88
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
$1,287.25 / $1,719.21 / $1,978.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.58 / $2,057.16 / $2,698.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,846.14 / $2,013.97 / $2,649.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,576.24 / $1,983.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,746.17 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,951.68 / $2,296.09 / $2,649.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.35 / $1,649.50 / $2,441.27