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Idaho rates for HCPCS 74290

Cholecystography, oral contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $83.18 / $177.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $331.13 / $549.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $151.36 / $208.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $602.56 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $123.03 / $162.18
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $257.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $97.72 / $190.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $154.88 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $33.11 / $53.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $436.52 / $630.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $208.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $77.62 / $208.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $83.18 / $158.49