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Idaho rates for HCPCS 15738

Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

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
$1,101.06 / $1,639.69 / $1,978.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.78 / $1,767.23 / $2,279.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,101.06 / $1,775.50 / $2,289.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,034.53 / $2,219.48 / $2,466.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,966.11
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
$1,926.09 / $1,943.19 / $2,350.91
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
$1,422.33 / $1,871.49 / $2,442.58