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Idaho rates for HCPCS 15922

Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $1,202.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $3,630.78 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,479.11 / $1,584.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,380.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,122.02 / $1,737.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,318.26 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $8,128.31 / $11,220.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,479.11 / $1,659.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $707.95 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,047.13 / $1,445.44