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Idaho rates for HCPCS Q4159

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.17 / $235.17 / $235.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $235.17 / $256.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.35 / $204.96 / $204.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.26 / $256.19 / $327.92
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $209.06 / $256.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.47 / $323.70 / $512.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.95 / $245.95 / $245.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.96 / $204.96 / $204.96