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Idaho rates for HCPCS 78140

Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $158.49 / $218.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $977.24 / $1,445.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,071.52 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $173.78 / $257.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $229.09 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $309.03
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
$812.83 / $1,096.48 / $1,479.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $223.87 / $263.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $812.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $263.03