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Idaho rates for HCPCS 76380

Ct Limited/Localized Follow Up Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$120.84 / $120.84 / $121.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.97 / $174.28 / $267.29
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.14 / $51.11 / $101.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.44 / $129.29 / $165.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.48 / $124.60 / $260.00
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.01 / $42.48 / $87.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.47 / $82.12 / $179.72
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.63 / $445.63 / $494.69
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$238.87 / $238.87 / $366.78
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$127.91 / $127.91 / $206.76
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.42 / $244.61 / $319.99
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.51 / $82.35 / $96.21
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.88 / $162.24 / $189.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $72.70 / $208.15
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.94 / $156.94 / $156.94
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.06 / $275.37 / $319.99
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.02 / $91.79 / $110.48
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$156.04 / $183.58 / $209.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.85 / $168.40 / $308.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.50 / $52.06 / $97.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.82 / $113.42 / $227.36