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Idaho rates for HCPCS 14020

Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.62 / $727.58 / $1,061.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.21 / $876.71 / $1,123.67
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.36 / $851.89 / $1,173.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.52 / $1,113.35 / $1,377.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,106.33
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
$872.62 / $1,054.69 / $1,312.28
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
$702.79 / $871.20 / $1,198.86