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Idaho rates for HCPCS 61586

Bicoronal Transzygmtc&/Lefort I W/O Bone Grft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,243.10 / $3,396.09 / $5,964.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,395.93 / $4,113.32 / $4,641.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,377.41 / $4,151.17 / $6,321.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,076.00 / $4,076.00 / $4,940.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $3,349.98 / $4,214.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,118.05 / $5,118.05 / $5,718.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,421.82 / $3,222.00 / $5,233.05