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Idaho rates for HCPCS 65286

Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.95 / $1,062.97 / $1,504.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.37 / $779.68 / $1,117.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.80 / $1,000.14 / $1,534.31
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$663.43 / $949.04 / $1,191.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,198.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,651.10 / $5,756.01 / $7,201.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.44 / $988.52 / $1,387.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.00 / $3,450.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.23 / $934.83 / $1,377.58