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Idaho rates for HCPCS 0054T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $1,412.54 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $177.83 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $371.54 / $954.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $144.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $194.98 / $1,412.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $194.98 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $263.03 / $323.59
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $144.54 / $229.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $1,819.70 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $239.88 / $331.13