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Idaho rates for HCPCS 15050

Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $602.56 / $891.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $758.58 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $891.25 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $676.08 / $933.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $676.08 / $1,023.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $851.14 / $1,202.26
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
$707.95 / $912.01 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $616.60 / $1,122.02
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
$489.78 / $691.83 / $977.24