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Idaho rates for HCPCS 72191

Ct Angiography Pelvis W/Contrast/Noncontrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$219.10 / $225.50 / $225.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.00 / $434.02 / $555.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.34 / $91.56 / $189.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.00 / $350.78 / $385.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.07 / $285.07 / $611.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.18 / $79.55 / $161.58
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$183.88 / $205.52 / $485.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.73 / $1,297.73 / $1,440.60
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$474.33 / $474.33 / $573.72
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$724.01 / $724.01 / $966.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.75 / $569.72 / $742.40
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$135.04 / $155.50 / $181.68
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$359.73 / $414.24 / $484.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $145.13 / $419.13
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
$516.10 / $641.84 / $742.40
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$146.15 / $171.94 / $207.29
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$377.85 / $469.91 / $535.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.54 / $390.87 / $783.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.51 / $91.67 / $172.72
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$200.62 / $315.36 / $637.77