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Idaho rates for HCPCS 70488

Ct Maxillofacial W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$154.53 / $154.53 / $154.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.26 / $391.18 / $430.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.97 / $71.18 / $134.22
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.51 / $276.25 / $359.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.02 / $175.49 / $503.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.25 / $56.16 / $115.21
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$106.77 / $119.33 / $352.02
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$958.78 / $958.78 / $1,064.33
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$387.93 / $387.93 / $469.22
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$489.56 / $489.56 / $676.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.88 / $344.17 / $450.29
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.01 / $109.40 / $127.83
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.87 / $234.76 / $274.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $96.58 / $259.01
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.39 / $346.39 / $346.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.14 / $388.40 / $450.28
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.64 / $121.93 / $147.36
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$226.50 / $266.47 / $302.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.77 / $310.44 / $622.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.22 / $68.40 / $129.91
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.55 / $251.70 / $504.58