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Idaho rates for HCPCS Q4173

Palingen Or Palingen Xplus Per Square Centimeter

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.55 / $356.55 / $356.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $383.92 / $436.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.26 / $349.01 / $349.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.01 / $349.01 / $349.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.55 / $436.27 / $558.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $356.00 / $436.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.79 / $630.89 / $702.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.82 / $418.82 / $418.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.02 / $349.02 / $349.02