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Idaho rates for HCPCS A2007

Restrata, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.60 / $205.70 / $208.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $205.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.86 / $218.53 / $263.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.30 / $123.88 / $130.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.00 / $220.00 / $220.00