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Idaho rates for HCPCS 77076

Radiologic Examination Osseous Survey Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.39 / $267.39 / $267.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.43 / $127.02 / $216.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.86 / $367.78 / $603.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.25 / $165.53 / $194.74
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
$105.05 / $186.48 / $240.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.32 / $197.28 / $230.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $60.22 / $167.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.42 / $261.88 / $385.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.48 / $220.57 / $252.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.67 / $110.20 / $202.86