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Idaho rates for HCPCS 73721

Mri Any Jt Lower Extrem W/O Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.03 / $244.58 / $256.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.07 / $522.50 / $1,006.86
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $140.00 / $301.27
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$475.00 / $475.00 / $475.00
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$134.57 / $301.50 / $319.91
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.46 / $335.00 / $495.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.94 / $194.41 / $517.13
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.79 / $60.11 / $122.40
Cigna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$301.29 / $301.29 / $301.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.16 / $134.29 / $412.42
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,431.42 / $1,431.42 / $2,027.01
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$369.11 / $369.11 / $532.19
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$899.23 / $899.23 / $1,657.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.36 / $380.42 / $494.08
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.94 / $117.38 / $137.15
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$228.43 / $263.04 / $307.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $115.54 / $322.91
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
$363.91 / $428.13 / $494.08
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.21 / $130.84 / $157.32
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$252.70 / $297.29 / $336.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.56 / $395.79 / $789.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.00 / $72.95 / $130.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.66 / $268.39 / $462.38