go back

Idaho rates for HCPCS 15574

Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.71 / $1,121.42 / $1,339.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.26 / $1,156.36 / $1,422.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.14 / $1,121.42 / $1,478.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.24 / $1,385.54 / $1,679.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,350.30
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
$1,137.06 / $1,364.17 / $1,639.91
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
$942.89 / $1,212.30 / $1,631.98