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Idaho rates for HCPCS Q4127

Talymed, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $75.34 / $85.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.61 / $68.48 / $68.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $85.61 / $109.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $75.34 / $85.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $133.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.71 / $16.71 / $20.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.34 / $82.18 / $82.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48