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Idaho rates for HCPCS 65155

Reinsertion Ocular Implt Rnfcmt &/ Attach Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$909.77 / $1,463.72 / $2,093.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.15 / $1,183.48 / $1,501.95
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$890.47 / $1,466.40 / $2,197.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,191.30 / $1,523.76 / $1,846.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,499.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,412.57 / $9,164.31 / $11,714.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,572.15 / $1,923.52 / $1,952.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $9,360.00 / $17,870.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.95 / $1,254.39 / $1,689.59