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Idaho rates for HCPCS Q4155

Neox Flo or Clarix Flo 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.31 / $27.31 / $27.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $29.29 / $33.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $26.62 / $26.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.29 / $35.28 / $47.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $33.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.31 / $26.31 / $78.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.95 / $31.95 / $31.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.62 / $26.62 / $26.62