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Idaho rates for HCPCS A4211

Supplies for self-administered injections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.50 / $3.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.00 / $3,500.00 / $3,900.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.16 / $23.16 / $23.16