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Idaho rates for HCPCS 24920

Amputation, arm through humerus; open, circular (guillotine)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.01 / $1,015.10 / $1,492.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$826.94 / $1,079.08 / $1,281.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.31 / $1,265.17 / $1,716.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,200.86 / $1,310.04 / $1,713.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,024.19 / $1,288.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,703.82 / $18,472.14 / $30,479.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.79 / $1,485.63 / $1,713.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $11,800.00 / $29,092.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.45 / $1,036.35 / $1,489.75