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Idaho rates for HCPCS 35903

Excision Infected Graft Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.31 / $1,099.01 / $2,144.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,746.02 / $7,934.73 / $9,934.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,360.00 / $16,762.00 / $17,870.00