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Idaho rates for HCPCS 28490

Cltx Fx Grt Toe Phlx/Phlg 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
$113.84 / $163.51 / $288.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.54 / $121.54 / $121.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.33 / $195.82 / $246.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.77 / $231.44 / $324.67
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.75 / $241.53 / $296.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $204.85 / $257.70
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
$212.74 / $257.94 / $297.17
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
$154.65 / $211.63 / $301.17