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Idaho rates for HCPCS A6025

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Facilitymedian $19 · 10th–90th $11–$330%10%20%10th90th$19Professionalmedian $12 · 10th–90th $8–$180%10%10th90th$12$10.0$20.0$50.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $18.20
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $25.12 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $22.91 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $19.05 / $30.90
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.13 / $22.91
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $37.15
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.72 / $15.85