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Idaho rates for HCPCS 15650

Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $776.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $2,754.23 / $5,495.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $588.84 / $794.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $616.60 / $891.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $758.58 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $4,073.80 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $776.25 / $1,071.52
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $575.44 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $6,165.95 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $602.56 / $851.14