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Idaho rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.41 / $3,072.08 / $5,661.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.66 / $505.63 / $1,015.39
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
$389.36 / $568.74 / $864.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.15 / $675.14 / $1,116.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.73 / $789.90 / $957.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $771.72 / $859.91
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
$561.42 / $773.75 / $1,017.14
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
$514.99 / $734.75 / $1,048.46