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Idaho rates for HCPCS Q4101

Apligraf Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.30 / $30.30 / $30.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $33.25 / $37.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.52 / $30.23 / $30.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.30 / $37.49 / $48.37
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $32.04 / $37.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.26 / $27.43 / $59.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.23 / $30.23 / $30.23