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Idaho rates for HCPCS 25920

Disarticulation through wrist;

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
$747.35 / $967.65 / $1,494.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.74 / $1,070.32 / $1,271.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.52 / $1,249.51 / $1,718.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,192.32 / $1,300.72 / $1,710.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,016.75 / $1,279.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,480.35 / $9,397.43 / $15,505.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.26 / $1,480.30 / $1,710.88
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
$752.20 / $1,070.67 / $1,522.38