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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
$272.80 / $272.80 / $272.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.01 / $221.60 / $221.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.42 / $1,065.22 / $1,272.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.07 / $174.24 / $255.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.62 / $234.90 / $364.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.07 / $185.68 / $254.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $189.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.30 / $1,080.67 / $1,570.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.01 / $224.68 / $254.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.86 / $121.22 / $253.89