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Idaho rates for HCPCS 65779

Place Amniotic Membrane Ocular Surface Sutured

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
$150.76 / $321.43 / $2,519.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.11 / $877.46 / $2,069.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.17 / $971.68 / $2,670.39
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.52 / $239.59 / $1,909.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,894.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,412.57 / $9,164.31 / $11,714.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.61 / $292.22 / $2,310.76
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
$1,132.16 / $1,592.10 / $2,393.84