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Idaho rates for HCPCS 67039

Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,495.41 / $6,918.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,495.41 / $10,964.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,905.46 / $4,786.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $9,120.11 / $13,803.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,232.93 / $27,542.29