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Idaho rates for HCPCS Q4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $652.66 / $652.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.66 / $1,006.60 / $1,143.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.29 / $915.09 / $915.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.66 / $1,143.85 / $1,464.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $969.99 / $1,143.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $767.16 / $965.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,098.09 / $1,098.09 / $1,098.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.09 / $915.09 / $915.09