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Idaho rates for HCPCS 14001

Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.16 / $1,949.60 / $10,033.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.82 / $901.50 / $1,220.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.53 / $1,009.13 / $1,291.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.92 / $980.81 / $1,343.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,057.83 / $1,282.22 / $1,589.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,266.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,306.03 / $4,697.79 / $5,755.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,005.61 / $1,208.75 / $1,504.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.45 / $1,065.15 / $1,443.87