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Idaho rates for HCPCS 15135

Dermal Autograft F/S/N/H/F/G/M/D Gt 1st 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.76 / $1,148.36 / $1,338.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.00 / $1,129.52 / $1,419.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$655.50 / $1,148.36 / $1,469.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,221.68 / $1,402.23 / $1,697.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,366.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,081.40 / $8,854.77 / $10,870.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,152.41 / $1,341.15 / $1,645.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$900.90 / $1,130.82 / $1,492.93