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Idaho rates for HCPCS 0021U

Oncology (prostate), detection of 8 autoantibodies (ARF 6, NKX3-1, 5'-UTR-BMI1, CEP 164, 3'-UTR-Ropporin, Desmocollin, AURKAIP-1, CSNK2A2), multiplexed immunoassay and flow cytometry serum, algorithm reported as risk score

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,380.38 / $1,995.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $707.95 / $1,479.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,412.54 / $2,754.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $758.58 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $1,584.89 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $870.96 / $1,096.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $1,479.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $794.33 / $977.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $1,479.11 / $2,754.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $794.33
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $316.23 / $912.01