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Idaho rates for HCPCS 75635

Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$162.47 / $297.64 / $300.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.21 / $461.45 / $615.66
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.37 / $126.93 / $250.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.28 / $350.63 / $385.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.31 / $384.82 / $789.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.11 / $105.19 / $212.94
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$250.20 / $279.63 / $573.64
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.19 / $1,492.19 / $1,656.47
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$877.80 / $877.80 / $895.08
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$614.39 / $614.39 / $761.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.67 / $768.84 / $994.64
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$178.27 / $205.28 / $239.85
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$489.42 / $563.58 / $658.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $180.88 / $463.07
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.39 / $346.39 / $346.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.21 / $865.84 / $994.63
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$193.31 / $227.42 / $273.45
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$513.35 / $638.41 / $721.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.15 / $474.62 / $925.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.53 / $126.95 / $241.80
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$280.38 / $358.65 / $679.46