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Idaho rates for HCPCS 17264

Destruction Malignant Lesion Trunk/Arm/Leg 3.1-4.0cm

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
$123.22 / $191.90 / $315.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.74 / $229.48 / $334.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $217.00 / $334.62
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.35 / $273.42 / $403.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $325.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.62 / $958.04 / $1,244.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $261.73 / $388.64
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
$211.40 / $271.80 / $350.39