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Idaho rates for HCPCS 41821

Operculectomy, excision pericoronal tissues

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
$50.12 / $58.88 / $91.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $1,698.24 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $281.84 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $83.18 / $120.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $85.11 / $162.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $60.26 / $158.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $3,467.37 / $4,786.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $117.49
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $2,344.23 / $3,801.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $75.86 / $117.49