go back

Idaho rates for HCPCS 86769

Antb Severe Aqt Respir Synd Sars-Cov-2 Covid-19

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.13 / $96.69 / $135.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $42.13 / $63.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.28 / $164.28 / $164.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.62 / $48.40 / $60.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.13 / $42.13 / $53.93
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $44.24 / $50.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.13 / $42.13 / $42.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.20 / $84.26 / $151.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.81 / $72.17 / $74.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.69 / $17.69 / $50.56