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Idaho rates for HCPCS 74290

Cholecystography Oral Contrst

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.06 / $207.06 / $207.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.14 / $107.12 / $177.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.24 / $602.62 / $1,008.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.00 / $129.54 / $159.38
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.91 / $230.91 / $256.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.00 / $127.26 / $188.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.48 / $141.52 / $179.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.80 / $32.34 / $129.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.23 / $416.64 / $638.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.47 / $174.68 / $203.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.53 / $87.78 / $151.41