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Idaho rates for HCPCS 73200

Ct Upper Extremity W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.54 / $126.04 / $127.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.88 / $247.66 / $328.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $55.00 / $105.92
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.44 / $220.00 / $253.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.09 / $154.33 / $333.02
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.64 / $44.30 / $90.22
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$231.34 / $231.34 / $231.34
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.45 / $110.03 / $249.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.96 / $735.96 / $905.35
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$380.38 / $380.38 / $381.16
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$354.80 / $354.80 / $524.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.98 / $300.52 / $394.00
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$74.73 / $86.05 / $100.54
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.27 / $214.49 / $250.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $84.86 / $216.78
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $211.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.80 / $339.76 / $394.00
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.52 / $95.90 / $115.29
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$207.28 / $243.86 / $278.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.30 / $197.32 / $395.57
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.25 / $53.96 / $102.50
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.74 / $155.07 / $310.88