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Idaho rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $794.33 / $794.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $107.15 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $302.00 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $112.20 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $229.09 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $114.82 / $346.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $138.04 / $354.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $218.78 / $309.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $208.93 / $234.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $380.19 / $524.81