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Idaho rates for HCPCS A2013

Innovamatrix Fs, Per Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.00 / $1,377.00 / $1,393.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.00 / $1,377.00 / $1,377.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,344.60 / $1,462.86 / $1,762.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,500.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.08 / $1,889.51 / $1,889.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00