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Idaho rates for HCPCS 17004

Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.51 / $153.76 / $256.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.68 / $173.96 / $261.05
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.29 / $179.51 / $277.06
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.04 / $244.90 / $323.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $260.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.93 / $958.04 / $1,244.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.88 / $196.64 / $315.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.34 / $201.60 / $279.54