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Idaho rates for HCPCS 0122U

Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $1,380.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $1,023.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $977.24 / $1,905.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $524.81 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $1,096.48 / $2,041.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $602.56 / $758.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $524.81 / $1,023.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $549.54 / $630.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,905.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $549.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $630.96