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Idaho rates for HCPCS 76776

Us Trnsplnt Kidney Real Time W/Image Docmtn

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.96 / $90.97 / $90.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.84 / $164.72 / $302.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.29 / $38.01 / $76.45
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.55 / $127.51 / $225.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.94 / $226.94 / $290.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.99 / $55.74 / $72.48
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.32 / $170.36 / $218.51
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.12 / $405.12 / $449.72
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.63 / $173.63 / $173.63
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.49 / $231.49 / $231.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.77 / $261.49 / $313.43
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.11 / $60.57 / $69.22
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.67 / $187.37 / $214.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $64.56 / $253.58
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $211.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.35 / $302.77 / $347.57
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.72 / $72.61 / $87.71
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.64 / $230.16 / $259.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.22 / $167.58 / $299.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.76 / $41.42 / $74.13
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.47 / $125.81 / $225.76