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Idaho rates for HCPCS 14021

Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm

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
$672.10 / $984.38 / $1,311.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.05 / $1,103.71 / $1,390.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.89 / $1,070.60 / $1,455.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.42 / $1,389.60 / $1,702.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,368.26
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
$1,087.96 / $1,322.52 / $1,619.98
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
$903.70 / $1,161.90 / $1,497.56