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Idaho rates for HCPCS A6261

Wound Filler Gel/Paste Per Fluid Ounce Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.35 / $403.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.35 / $3.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $34.00 / $34.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.96 / $4.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,000.00 / $3,500.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $2.91 / $6.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.73 / $2.57