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Idaho rates for HCPCS Q4148

Neox Cord 1k Neox Cord Rt Or Clarix Cord 1k Persquare Centimeter (Desc Revised 1/1/2018)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.06 / $126.06 / $126.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $136.18 / $154.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.79 / $123.80 / $123.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.06 / $154.75 / $198.08
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $129.99 / $154.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $250.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $148.56 / $148.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.80 / $123.80 / $123.80