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Idaho rates for HCPCS 77077

Joint Survey Single View 2 Or More Joints

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.22 / $42.22 / $42.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.59 / $46.20 / $94.65
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.08 / $17.30 / $34.79
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.51 / $30.57 / $59.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.99 / $68.56 / $83.87
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.84 / $27.25 / $32.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.78 / $41.49 / $53.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.74 / $164.74 / $366.60
Hally Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.14 / $34.14 / $98.10
Hally Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.64 / $66.64 / $66.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.18 / $85.42 / $99.81
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.15 / $30.12 / $33.21
Moda Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.03 / $55.31 / $60.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.39 / $32.34 / $80.67
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $211.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.10 / $96.59 / $110.28
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.53 / $33.57 / $39.93
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.57 / $63.02 / $70.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.55 / $49.02 / $87.54
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.68 / $17.68 / $33.31
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.87 / $30.40 / $52.38