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Idaho rates for HCPCS 87109

Culture Mycoplasma Any Source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.71 / $35.71 / $35.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.47 / $23.08 / $30.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $16.30 / $60.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.43 / $17.76 / $22.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.47 / $23.85 / $31.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.39 / $15.39 / $18.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.74 / $29.86 / $55.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $26.19 / $26.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $9.15 / $21.50