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Idaho rates for HCPCS G0429

Dermal filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g., as a result of highly active antiretroviral therapy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.60 / $84.70 / $98.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.28 / $89.28 / $89.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.88 / $131.97 / $194.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.80 / $123.44 / $148.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.88 / $131.12 / $174.00