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Idaho rates for HCPCS 15734

Musc Myocutaneous/Fasciocutaneous Flap Trunk

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,129.40 / $2,691.16 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.49 / $1,563.08 / $2,335.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,649.70 / $2,031.05 / $2,622.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,307.96 / $2,035.16 / $2,578.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,419.35 / $2,639.29 / $2,932.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,324.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,960.99 / $8,854.77 / $10,870.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,282.01 / $2,302.26 / $2,764.21
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
$1,573.24 / $2,022.75 / $2,681.72