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Idaho rates for HCPCS 66174

Trluml Dilat Aqueous O/F Can Wo Retention Dev/St

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
$459.00 / $918.00 / $1,608.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.50 / $1,175.63 / $1,599.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.10 / $1,608.29 / $2,299.85
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.70 / $989.51 / $1,199.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $977.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,334.89 / $10,854.89 / $13,325.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,007.53 / $1,237.69 / $1,244.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.26 / $1,231.43 / $1,854.67