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Idaho rates for HCPCS 25624

Closed Tx Carpal Scaphoid Fracture W/Manj

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
$421.02 / $624.94 / $1,005.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.37 / $1,006.37 / $1,009.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.85 / $693.96 / $843.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.22 / $788.15 / $1,133.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.28 / $861.65 / $1,055.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $704.75 / $886.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,847.32 / $3,860.69 / $4,869.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.20 / $924.79 / $1,055.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.00 / $722.27 / $1,027.84