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Idaho rates for HCPCS 0256U

Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, liquid chromatography tandem mass spectrometry (LC-MS/MS), urine, with algorithmic analysis and interpretive report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $416.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $151.36 / $309.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $302.00 / $575.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $138.04 / $162.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $181.97 / $229.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $288.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $169.82 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $77.62 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $302.00 / $575.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $169.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $67.61 / $190.55