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Idaho rates for HCPCS 65130

Insertion of ocular implant secondary; after evisceration, in scleral shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,288.25 / $1,862.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $4,265.80 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,047.13 / $1,412.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,148.15 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $1,659.59
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
$6,918.31 / $8,709.64 / $12,302.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,659.59 / $2,290.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,318.26 / $9,120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $9,332.54 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $1,479.11