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Idaho rates for HCPCS 15150

Cltr Skin Autograft T/A/L 1st 25 Cm/<

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
$613.26 / $917.55 / $1,067.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.37 / $948.44 / $1,132.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.22 / $930.38 / $1,174.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,033.81 / $1,168.69 / $1,375.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,081.17
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
$975.98 / $1,085.91 / $1,294.41
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
$712.95 / $913.50 / $1,218.00