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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
$949.75 / $949.75 / $1,368.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.36 / $368.36 / $368.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$513.08 / $557.54 / $2,052.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.74 / $604.63 / $755.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.66 / $1,026.15 / $1,087.72
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.23 / $526.23 / $631.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.35 / $1,052.46 / $1,894.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.30 / $786.55 / $812.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.02 / $221.02 / $631.48