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Idaho rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

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
$492.72 / $1,050.33 / $1,050.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.82 / $612.79 / $833.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.76 / $938.55 / $1,113.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.04 / $820.79 / $938.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $853.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,398.53 / $9,164.31 / $11,714.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.58 / $969.76 / $977.68
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
$401.32 / $599.85 / $945.74