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Idaho rates for HCPCS 13121

Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $776.25 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $407.38 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $707.95 / $1,621.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $426.58 / $676.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $446.68 / $776.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $478.63 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.02 / $1,412.54 / $2,041.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $912.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $398.11 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $467.74 / $724.44