go back

Idaho rates for HCPCS 0055T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $4,466.84 / $13,489.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $218.78 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $275.42 / $1,202.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $194.98 / $194.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $229.09 / $4,677.35
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $229.09 / $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
$245.47 / $316.23 / $380.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $281.84
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
$169.82 / $257.04 / $363.08