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Idaho rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$167.97 / $167.97 / $208.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.93 / $216.21 / $258.80
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.65 / $58.13 / $138.72
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.47 / $142.88 / $180.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.75 / $221.81 / $289.93
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.60 / $99.23 / $124.76
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.93 / $106.57 / $171.23
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.13 / $459.13 / $509.68
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$179.42 / $179.42 / $368.97
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.16 / $90.16 / $330.26
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.67 / $231.08 / $296.08
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.74 / $120.08 / $129.38
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.93 / $108.17 / $128.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $92.98 / $195.20
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$5,551.62 / $5,551.62 / $5,551.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.68 / $259.62 / $296.08
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$115.87 / $136.32 / $158.08
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.81 / $123.30 / $138.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.47 / $188.23 / $348.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.16 / $75.62 / $127.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.65 / $131.22 / $225.04