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Idaho rates for HCPCS 78801

Rp Loclzj Tum Plnr 2+Area 1+D Img/1 Area Img>2+D

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.13 / $85.13 / $87.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$731.61 / $731.61 / $731.61