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Idaho rates for HCPCS 15958

Exc Trchntric Pr Ulc Musc/Myoq Flap/Skin W/Ostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$884.84 / $1,603.71 / $2,056.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,960.99 / $8,854.77 / $10,870.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00