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Idaho rates for HCPCS Q4234

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $194.83 / $194.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.83 / $609.33 / $692.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$522.58 / $553.94 / $553.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.83 / $692.42 / $886.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $587.16 / $692.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $247.92 / $483.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.72 / $664.72 / $664.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.94 / $553.94 / $553.94