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Idaho rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $109.65 / $234.42
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.13 / $18.20 / $43.65
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $91.20 / $190.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $275.42
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.20 / $35.48 / $48.98
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $162.18 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $162.18 / $213.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $28.84 / $38.02
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $128.82 / $177.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $208.93 / $234.42
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $60.26 / $60.26
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$147.91 / $147.91 / $181.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $213.80 / $263.03
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.05 / $37.15 / $41.69
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $181.97 / $208.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $33.11 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $229.09 / $281.84
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $38.02 / $46.77
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.71 / $190.55 / $234.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $107.15 / $239.88
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.20 / $18.20 / $38.90
Select Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.10 / $102.33 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $109.65 / $194.98
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.62 / $19.50 / $38.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $91.20 / $154.88