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Idaho rates for HCPCS 44021

Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $5,495.41 / $5,495.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,715.35 / $4,466.84
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $1,445.44 / $2,818.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $15,488.17 / $26,302.68