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Idaho rates for HCPCS 67027

Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,422.00 / $4,500.00 / $8,622.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.96 / $1,538.67 / $2,104.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,955.87 / $42,257.96 / $53,427.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $10,120.00 / $27,159.00