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Idaho rates for HCPCS 28173

Radical Resection Tumor Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.83 / $1,084.20 / $1,527.23
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
$831.66 / $1,108.88 / $1,337.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$671.21 / $1,164.65 / $1,832.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.77 / $1,273.93 / $1,738.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,036.28 / $1,303.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,515.72 / $7,849.65 / $9,927.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,232.19 / $1,449.64 / $1,738.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.49 / $1,147.50 / $1,755.54