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Idaho rates for HCPCS 65125

Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.92 / $623.51 / $977.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.05 / $460.20 / $729.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.68 / $623.51 / $1,012.44
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.44 / $569.29 / $785.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $779.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,884.56 / $5,546.60 / $7,080.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.80 / $735.00 / $907.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.32 / $596.16 / $901.74