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Idaho rates for HCPCS A4641

Radiopharmaceutical, diagnostic, not otherwise classified

Facilitymedian $186 · 10th–90th $22$3890%20%10th90th$186Professionalmedian $115 · 10th–90th $63$1150%50%10th$115$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $186.21 / $389.05
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $23.44 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $91.20
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $114.82 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $63.10