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Idaho rates for HCPCS 65780

Ocular Surface Reconstruction Amniotic Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,415.00 / $4,500.00 / $8,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.33 / $843.94 / $1,424.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$559.04 / $1,303.07 / $1,780.11
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.24 / $997.41 / $1,487.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,034.44
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
$1,080.14 / $1,173.71 / $1,336.34
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
$715.92 / $1,017.37 / $1,491.19