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Idaho rates for HCPCS 73115

Radex Wrist Arthrography Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.50 / $69.50 / $69.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.26 / $166.63 / $276.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.05 / $200.83 / $248.45
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.93 / $284.93 / $316.30
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.11 / $81.11 / $98.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.75 / $241.53 / $282.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $48.40 / $226.80
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.15 / $714.15 / $714.15
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.82 / $277.43 / $316.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.73 / $148.29 / $242.54