go back

Idaho rates for HCPCS A2011

Supra sdrm, per sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.00 / $344.00 / $344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.00 / $344.00 / $344.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,500.00