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Idaho rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.37 / $1,006.37 / $1,009.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.69 / $1,419.62 / $2,032.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.28 / $3,916.24 / $6,365.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,100.00 / $10,120.00 / $27,159.00