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Idaho rates for HCPCS 92549

Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report; with motor control test (MCT) and adaptation test (ADT)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $66.07 / $87.10
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $45.71 / $61.66
BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$218.78 / $218.78 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $125.89 / $131.83
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.61 / $87.10 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $102.33 / $120.23
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $69.18 / $87.10
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $109.65 / $128.82
Moda Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $77.62 / $89.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$218.78 / $218.78 / $218.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $93.33 / $141.25
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $64.57 / $97.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $60.26 / $239.88
Select Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.69 / $41.69 / $74.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $89.13 / $125.89
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.71 / $64.57 / $89.13