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Idaho rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.47 / $177.46 / $314.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.46 / $188.20 / $267.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.47 / $252.98 / $306.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $217.81 / $274.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.92 / $261.22 / $320.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.36 / $233.48 / $332.26