go back

Idaho rates for HCPCS 86890

Autologous blood or component, collection processing and storage; predeposited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.82 / $221.82 / $221.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $171.63 / $171.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.16 / $100.37 / $208.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $84.25 / $105.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.12 / $115.53 / $180.21
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.19 / $164.19 / $164.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.91 / $413.40 / $524.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.45 / $166.45 / $167.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.02 / $43.35 / $94.62