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Idaho rates for HCPCS 13133

Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 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
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.35 / $174.35 / $258.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.29 / $201.76 / $278.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.78 / $194.89 / $273.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.07 / $268.45 / $325.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $262.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.28 / $233.99 / $316.17
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
$177.48 / $216.93 / $298.81