go back

Idaho rates for HCPCS 23921

Disrtcj Shoulder Secondary Clsr/Scar Revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.72 / $617.49 / $958.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,177.80 / $1,177.80 / $1,181.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.66 / $692.21 / $822.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.94 / $783.78 / $1,121.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.16 / $848.90 / $1,105.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $664.13 / $835.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,327.80 / $4,747.49 / $5,755.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.99 / $964.43 / $1,105.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.62 / $702.06 / $999.74