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Idaho rates for HCPCS 65286

Repair of laceration; application of tissue glue, wounds of cornea and/or sclera

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $758.58 / $1,513.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $1,318.26 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,023.29 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $776.25 / $1,202.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $758.58 / $1,698.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $891.25 / $1,412.54
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
$4,073.80 / $5,248.07 / $7,585.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,023.29 / $1,445.44
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $794.33 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $3,467.37 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,288.25