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Idaho rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$175.67 / $175.67 / $175.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $126.13 / $191.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.65 / $74.31 / $140.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.36 / $160.80 / $179.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$96.71 / $118.39 / $132.16
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.63 / $161.88 / $185.02
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$107.81 / $114.35 / $130.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $47.83 / $152.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.17 / $193.86 / $224.91
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.73 / $137.00 / $163.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $114.34 / $206.71
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.37 / $73.34 / $131.24