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Idaho rates for HCPCS A2014

Omeza collagen matrix, per 100 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.00 / $130.69 / $132.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $130.69 / $130.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.61 / $138.84 / $167.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.97 / $90.55 / $90.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.13 / $128.13 / $128.13