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Idaho rates for HCPCS 15733

Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $7,761.00 / $12,564.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.07 / $1,321.24 / $1,567.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.23 / $1,432.07 / $1,843.17
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$759.17 / $1,413.56 / $1,691.19
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,656.12 / $1,806.68 / $2,007.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,611.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,467.35 / $8,854.77 / $10,870.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,564.10 / $1,577.98 / $1,923.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,055.94 / $1,407.17 / $1,840.37