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Idaho rates for HCPCS 28635

Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $190.55 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $2,398.83 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $275.42 / $346.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,000.00 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $302.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $234.42 / $426.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $295.12 / $363.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $3,630.78 / $5,011.87
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $371.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $239.88 / $2,511.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,467.37 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $218.78 / $331.13