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Idaho rates for HCPCS 23921

Disarticulation of shoulder; secondary closure or scar revision

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $616.60 / $954.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,238.72 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $912.01 / $954.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $616.60 / $812.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $741.31 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,677.35 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $1,023.29
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $3,715.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,467.37 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $676.08 / $954.99