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Idaho rates for HCPCS 65290

Repair of wound, extraocular muscle, tendon and/or Tenon's capsule

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
$467.74 / $676.08 / $1,047.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,981.07 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $933.25 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $616.60 / $870.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $933.25 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $724.44 / $912.01
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
$6,456.54 / $8,709.64 / $12,302.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $933.25 / $2,290.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $812.83 / $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
$478.63 / $660.69 / $954.99