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Idaho rates for HCPCS Q4074

Iloprost Non-Comp Unit Dose

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $158.91 / $158.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $174.81 / $198.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.91 / $152.91 / $158.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $169.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.91 / $166.86 / $210.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $158.91 / $198.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.48 / $106.58 / $148.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.91 / $220.70 / $332.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.91 / $182.76 / $198.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.57 / $158.91 / $158.91