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Idaho rates for HCPCS 15842

Grf Facial Nrv Palyss Fr Muscle Flap Microsurg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,337.19 / $3,735.76 / $4,080.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.50 / $3,726.32 / $4,740.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,986.62 / $3,673.20 / $4,652.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,337.52 / $4,731.84 / $5,257.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $4,200.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,327.80 / $4,747.49 / $5,755.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,086.93 / $4,123.20 / $5,004.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,579.84 / $3,456.21 / $4,634.45