go back

Idaho rates for HCPCS A2004

XCelliStem, 1 mg

Facilitymedian $14 · 10th–90th $13$190%20%40%10th90th$14Professionalmedian $13 · 10th–90th $12$130%20%40%10th90th$13$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$15.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$15.14
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$15.49
Typical High
$21.88
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$15.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Select Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$12.88
Typical High
$12.88