go back

Idaho rates for HCPCS 65155

Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles 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
$933.25 / $1,479.11 / $2,089.30
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
$1,513.56 / $1,819.70 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,174.90 / $1,621.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $1,479.11 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,513.56 / $1,862.09
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
$1,318.26 / $1,862.09 / $2,290.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,548.82 / $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
$831.76 / $1,174.90 / $1,698.24