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Idaho rates for HCPCS 28225

Tenolysis Extensor Foot Single Tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.05 / $430.25 / $847.90
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
$314.14 / $468.54 / $731.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.63 / $544.71 / $932.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.92 / $658.32 / $800.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $571.83 / $719.39
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
$455.49 / $625.05 / $862.04
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
$426.60 / $621.88 / $889.35