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Idaho rates for HCPCS 25905

Amp Forearm Thru Radius & Ulna Open Circular

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
$713.76 / $1,012.88 / $1,431.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$775.40 / $1,062.99 / $1,310.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$663.61 / $1,426.29 / $1,717.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.17 / $1,254.73 / $1,641.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,108.00 / $1,234.61
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
$1,211.23 / $1,424.98 / $1,641.38
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
$750.23 / $1,052.99 / $1,444.20