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Idaho rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.43 / $212.06 / $8,222.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $109.61 / $178.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.23 / $126.96 / $192.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.27 / $116.26 / $188.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.21 / $149.41 / $224.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $179.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.95 / $146.10 / $217.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.00 / $144.00 / $201.60