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Idaho rates for HCPCS 65779

Placement of amniotic membrane on the ocular surface; single layer, sutured

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $954.99 / $2,511.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $4,466.84 / $10,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,479.11 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $870.96 / $2,089.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $1,122.02 / $4,466.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $323.59 / $2,290.87
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
$6,918.31 / $8,709.64 / $12,302.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $2,290.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $1,047.13 / $7,079.46
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
$186.21 / $1,000.00 / $2,187.76