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Idaho rates for HCPCS 15271

App Skn Sub Grft T/A/L Area/100sq Cm /<1st 25

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.22 / $280.95 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.50 / $129.62 / $236.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.80 / $148.63 / $248.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.86 / $134.52 / $247.91
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.49 / $163.02 / $296.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $238.42
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
$127.88 / $169.64 / $286.29
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
$148.40 / $188.75 / $253.10