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Idaho rates for HCPCS Q4143

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $37.31 / $42.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.00 / $33.92 / $33.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.92 / $42.40 / $54.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $34.60 / $42.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $66.14
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.70 / $40.70 / $40.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.92 / $33.92 / $33.92