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Idaho rates for HCPCS 75872

Venography, epidural, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.45 / $322.45 / $322.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.85 / $262.55 / $288.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.08 / $1,827.99 / $3,447.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.29 / $225.20 / $314.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.15 / $513.15 / $569.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.71 / $316.42 / $941.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.95 / $236.00 / $305.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $87.43 / $224.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.89 / $1,590.88 / $2,813.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.16 / $263.72 / $305.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.28 / $229.25 / $475.02