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Idaho rates for HCPCS 25145

Sequestrectomy Forearm &/Wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.79 / $759.31 / $1,064.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.78 / $1,895.78 / $1,901.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.66 / $792.19 / $982.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.75 / $1,064.06 / $1,294.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.42 / $939.73 / $1,224.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $734.67 / $924.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,834.98 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.87 / $1,065.73 / $1,224.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.48 / $768.08 / $1,107.04