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Idaho rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $7,045.00 / $19,686.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.82 / $603.98 / $1,297.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.62 / $749.10 / $1,021.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.02 / $915.63 / $1,375.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.08 / $975.00 / $1,156.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,049.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,116.89 / $5,756.01 / $7,201.73
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.27 / $1,199.70 / $1,211.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $5,550.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$605.87 / $820.75 / $1,139.23