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Idaho rates for HCPCS 73718

Mri Lower Extrem Oth/Thn Jt W/O Contr Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$92.13 / $241.66 / $243.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.70 / $494.18 / $811.20
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.61 / $140.00 / $231.51
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$712.50 / $712.50 / $712.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.73 / $335.00 / $508.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.15 / $218.11 / $642.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.40 / $59.68 / $121.20
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$338.09 / $338.09 / $338.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.75 / $158.41 / $478.21
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.80 / $1,029.80 / $1,403.06
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$283.18 / $283.18 / $526.02
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$746.62 / $746.62 / $877.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.33 / $416.08 / $547.13
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.41 / $116.77 / $136.44
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$259.92 / $299.31 / $349.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $103.16 / $393.32
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
$401.17 / $471.97 / $547.13
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.05 / $129.47 / $156.56
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$291.13 / $342.50 / $390.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.40 / $401.00 / $845.46
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.84 / $72.58 / $129.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.81 / $345.16 / $691.94