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Idaho rates for HCPCS 75801

Lymphangiography, extremity only, unilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.82 / $114.82 / $114.82
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$169.82 / $204.17 / $204.17
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13