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Idaho rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,071.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $4,570.88 / $8,511.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,047.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $912.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $954.99 / $1,348.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $954.99 / $1,258.93
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
$5,888.44 / $7,244.36 / $10,232.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,023.29 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $602.56 / $6,309.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $9,332.54 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $776.25 / $1,071.52