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Idaho rates for HCPCS 80050

General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.98 / $143.04 / $261.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.09 / $47.36 / $83.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.64 / $44.22 / $137.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.25 / $47.08 / $58.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.93 / $59.44 / $188.77
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $64.80 / $92.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $78.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.42 / $60.99 / $89.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.84 / $69.84 / $70.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $19.86 / $56.41