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Idaho rates for HCPCS 65140

Insertion of ocular implant secondary; after enucleation, muscles attached to implant

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
$912.01 / $1,412.54 / $1,995.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,290.87 / $5,370.32 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,737.80 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,148.15 / $1,548.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,445.44 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,445.44 / $1,819.70
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
$1,258.93 / $1,778.28 / $2,290.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,445.44 / $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
$776.25 / $1,122.02 / $1,621.81