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Idaho rates for HCPCS 76885

Us Inft Hips R-T Img Dynamic Req Phys/Qhp Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.52 / $466.40 / $502.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.43 / $110.00 / $232.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.60 / $273.04 / $498.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.93 / $209.44 / $274.25
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.35 / $344.35 / $382.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.38 / $205.40 / $304.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.04 / $228.13 / $278.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $63.30 / $218.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.94 / $217.32 / $319.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.98 / $278.80 / $321.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.16 / $153.90 / $288.12