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Idaho rates for HCPCS 65778

Place Amniotic Membra Ocular Surface W/O Sutures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.81 / $1,117.89 / $2,399.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.10 / $102.49 / $2,233.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.18 / $1,042.08 / $3,071.94
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.38 / $87.57 / $2,179.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,159.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,648.20 / $2,276.55 / $3,067.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.65 / $105.09 / $2,175.46
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
$1,311.09 / $1,787.85 / $2,701.63