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Idaho rates for HCPCS Q4201

Matrion 1 sq cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.23 / $79.23 / $79.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $83.70 / $95.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.78 / $76.09 / $76.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.23 / $95.11 / $121.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $77.61 / $95.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $168.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.31 / $91.31 / $91.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.09 / $76.09 / $76.09