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Idaho rates for HCPCS 78740

Ureteral reflux study (radiopharmaceutical voiding cystogram)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $309.03 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $912.01 / $1,412.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $1,071.52 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $338.84 / $436.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $346.74 / $524.81
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $389.05 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $1,071.52 / $1,445.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $436.52 / $478.63
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $199.53 / $457.09