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Idaho rates for HCPCS 28540

Cltx Tarsal Dislc Oth/Thn Talotarsal W/O Anes

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
$175.43 / $255.40 / $403.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.24 / $145.24 / $145.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.75 / $276.12 / $341.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.91 / $333.56 / $463.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.48 / $336.79 / $419.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $283.76 / $356.99
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
$292.52 / $361.91 / $419.87
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
$213.48 / $290.56 / $425.74