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Idaho rates for HCPCS 13120

Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.09 / $320.64 / $545.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.31 / $380.78 / $583.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$249.50 / $375.18 / $578.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.86 / $450.74 / $683.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $549.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.49 / $1,451.69 / $1,937.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.45 / $463.47 / $667.51
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
$334.60 / $458.88 / $598.26