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Idaho rates for HCPCS 75803

Lymphangiography, extremity only, bilateral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.13 / $1,731.65 / $2,774.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,922.75 / $4,745.79 / $8,788.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.04 / $386.80 / $469.73
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.03 / $794.03 / $881.45
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.72 / $579.83 / $2,941.22
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.85 / $331.85 / $565.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $316.27 / $497.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.79 / $3,553.89 / $5,493.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.69 / $513.75 / $513.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.58 / $1,690.80 / $2,705.28