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Idaho rates for HCPCS 15770

Graft; derma-fat-fascia

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
$607.08 / $933.16 / $1,018.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.15 / $920.90 / $1,161.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.50 / $929.61 / $1,160.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.99 / $1,191.26 / $1,323.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,061.08
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
$1,029.72 / $1,038.85 / $1,256.20
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
$698.60 / $878.24 / $1,157.68