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Idaho rates for HCPCS A2015

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

Facilitymedian $145 · 10th–90th $93$3020%20%10th90th$145Professionalmedian $107 · 10th–90th $62$3550%5%10%10th90th$107$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$91.20
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$1,202.26
Typical High
$1,698.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$144.54
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$154.88
Typical High
$363.08
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$218.78
Typical High
$251.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$77.62
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$933.25
Typical High
$1,412.54
Select Health
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$117.49
Typical High
$123.03
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$177.83