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Idaho rates for HCPCS 70540

Mri Orbit Face &/Neck W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$164.25 / $241.66 / $241.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.52 / $494.18 / $720.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.56 / $140.00 / $203.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$235.98 / $340.00 / $517.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.49 / $220.72 / $631.36
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.14 / $59.39 / $121.20
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.35 / $161.33 / $487.17
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,408.46 / $1,408.46 / $1,563.53
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$524.95 / $524.95 / $556.66
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$851.80 / $851.80 / $1,038.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.66 / $422.22 / $553.28
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.86 / $116.15 / $135.71
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$265.80 / $306.07 / $357.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $114.39 / $358.12
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $446.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.41 / $478.13 / $553.28
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.05 / $129.47 / $155.79
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$296.37 / $348.67 / $397.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.17 / $395.21 / $742.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.84 / $72.00 / $129.19
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.88 / $339.37 / $692.57