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Idaho rates for HCPCS 28446

Open Osteochondral Autograft Talus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.75 / $1,711.38 / $2,484.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,342.07 / $5,342.07 / $5,357.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,351.79 / $1,799.01 / $2,136.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,166.72 / $2,334.73 / $2,981.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.70 / $2,170.58 / $2,845.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,697.72 / $2,135.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,259.78 / $17,361.59 / $22,059.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,095.01 / $2,464.71 / $2,845.37
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
$1,325.82 / $1,837.69 / $2,509.15