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Idaho rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.74 / $87.91 / $127.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.12 / $171.12 / $171.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $91.30