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Idaho rates for HCPCS 0025U

Tenofovir, by liquid chromatography with tandem mass spectrometry (LC-MS/MS), urine, quantitative

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $81.28 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $190.55 / $407.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $100.00 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $177.83 / $331.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $131.83 / $165.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $147.91 / $173.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $138.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $213.80 / $407.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $97.72 / $120.23
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $39.81 / $114.82