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Idaho rates for HCPCS 76831

Saline infusion sonohysterography (SIS), including color flow Doppler, when performed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.11 / $77.11 / $110.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.09 / $142.13 / $478.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.92 / $177.47 / $227.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.70 / $271.70 / $320.04
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$134.90 / $134.90 / $155.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.54 / $204.67 / $244.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $55.67 / $136.88
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
$203.21 / $239.07 / $274.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.30 / $130.36 / $241.28