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Idaho rates for HCPCS 76391

Magnetic resonance (eg, vibration) elastography

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.60 / $134.60 / $134.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.19 / $277.49 / $429.23
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.21 / $58.94 / $111.02
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.97 / $218.55 / $318.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.33 / $198.19 / $406.70
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $48.78 / $99.82
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.68 / $149.41 / $306.50
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.44 / $1,011.44 / $1,122.80
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$383.90 / $383.90 / $383.90
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$627.54 / $627.54 / $627.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.95 / $373.05 / $493.71
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.73 / $87.75 / $100.28
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$241.25 / $255.87 / $292.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $93.74 / $315.95
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $446.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.00 / $424.70 / $493.70
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.25 / $106.18 / $127.73
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.74 / $318.52 / $365.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.69 / $248.52 / $444.73
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.72 / $60.04 / $107.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$146.97 / $188.48 / $337.29