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Idaho rates for HCPCS 28450

Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj

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
$176.38 / $259.41 / $393.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.78 / $154.78 / $155.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.50 / $302.52 / $369.43
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.71 / $360.01 / $499.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.23 / $369.72 / $454.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $152.00 / $343.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.01 / $563.48 / $714.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.18 / $395.90 / $454.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $1,800.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.65 / $315.63 / $449.17