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Idaho rates for HCPCS 42550

Injection procedure for sialography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $144.54 / $263.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $363.08 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $239.88 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $162.18 / $281.84
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $269.15 / $316.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $162.18 / $398.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $144.54 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $61.66 / $97.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $309.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $8,317.64 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $147.91 / $281.84