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Idaho rates for HCPCS 78121

Red cell volume determination (separate procedure); multiple samplings

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $109.65 / $162.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $1,071.52 / $1,862.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $169.82 / $251.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $1,380.38 / $1,659.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $120.23 / $144.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $199.53 / $331.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $169.82 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $1,445.44 / $1,905.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $158.49 / $181.97
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $91.20 / $169.82