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Idaho rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.79 / $154.79 / $297.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.04 / $80.62 / $98.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.63 / $90.87 / $334.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.67 / $131.75 / $164.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.62 / $167.25 / $177.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.43 / $120.15 / $137.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.04 / $214.43 / $411.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.27 / $132.41 / $171.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.02 / $40.03 / $114.36