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Idaho rates for HCPCS 76642

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.60 / $247.50 / $300.95
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.10 / $81.43 / $85.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.64 / $94.71 / $239.35
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.44 / $36.79 / $81.43
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$115.80 / $189.99 / $663.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.41 / $58.24 / $104.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.60 / $273.04 / $498.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.16 / $129.22 / $165.56
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.58 / $50.60 / $64.70
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.58 / $78.08 / $97.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.99 / $181.99 / $316.81
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$154.82 / $154.82 / $155.13
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.17 / $27.17 / $161.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.78 / $172.62 / $264.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.56 / $147.88 / $182.40
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.78 / $54.92 / $62.76
Moda Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$114.08 / $114.08 / $114.08
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.79 / $88.87 / $101.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $58.36 / $148.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.94 / $217.32 / $319.48
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
$148.47 / $174.68 / $201.14
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.90 / $65.76 / $79.28
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$92.58 / $108.92 / $121.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.77 / $93.37 / $167.96
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.36 / $36.49 / $65.29
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.41 / $57.37 / $102.67