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Idaho rates for HCPCS Q4118

MatriStem micromatrix, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $2.56 / $2.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.80 / $3.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.54 / $2.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.56 / $3.18 / $4.07
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.70 / $3.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.95 / $4.97 / $55.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.05 / $3.05 / $3.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.54