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Idaho rates for HCPCS A2015

Phoenix wound matrix, per square centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,116.08 / $1,116.08 / $1,116.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.81 / $154.78 / $1,116.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.24 / $785.24 / $785.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.49 / $154.78 / $198.12
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
$172.72 / $1,420.86 / $1,420.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,438.66 / $1,438.66 / $1,438.66