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Idaho rates for HCPCS 77014

Ct Guidance Radiation Therapy Flds Placement

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.32 / $117.32 / $117.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.38 / $255.27 / $299.45
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.09 / $97.87 / $117.32
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.29 / $157.40 / $182.17
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.45 / $299.45 / $299.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $81.70 / $208.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.24 / $245.92 / $283.44
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.46 / $91.11 / $108.53
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.78 / $154.81 / $174.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.83 / $149.41 / $262.61
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.59 / $55.43 / $87.03
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.56 / $93.98 / $173.41