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Idaho rates for HCPCS 25101

Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.65 / $5,519.00 / $7,824.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.23 / $771.13 / $993.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.98 / $7,849.65 / $9,927.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00