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Idaho rates for HCPCS 15157

Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.46 / $222.50 / $265.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $239.51 / $285.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.71 / $236.88 / $302.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.52 / $296.73 / $345.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $270.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.91 / $271.08 / $322.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.55 / $243.94 / $309.14