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Idaho rates for HCPCS 70496

Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$119.50 / $219.84 / $230.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.64 / $446.12 / $559.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.65 / $109.69 / $192.03
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.28 / $351.12 / $386.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.14 / $257.20 / $758.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.14 / $77.27 / $157.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.00 / $179.94 / $539.79
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.87 / $783.87 / $1,305.83
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$328.77 / $328.77 / $329.53
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$455.10 / $455.10 / $976.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.39 / $517.48 / $671.12
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$131.29 / $151.18 / $176.65
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$318.10 / $366.30 / $427.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $133.53 / $463.52
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
$467.63 / $581.57 / $671.11
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$142.66 / $167.83 / $202.89
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$350.00 / $413.74 / $468.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.14 / $477.67 / $1,026.75
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.62 / $94.24 / $175.69
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$180.07 / $405.05 / $812.01