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Idaho rates for HCPCS 0121U

Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,318.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $478.63 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $954.99 / $1,819.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $512.86 / $549.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $1,047.13 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $724.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $1,000.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $537.03 / $616.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $977.24 / $1,819.70
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $537.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $616.60