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Idaho rates for HCPCS 67040

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,495.41 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,445.44 / $3,311.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $5,370.32 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,949.84 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,288.25 / $1,819.70
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$851.14 / $2,187.76 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,513.56 / $1,905.46
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $9,120.11 / $13,803.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,949.84 / $3,162.28
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,819.70 / $10,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $10,232.93 / $27,542.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,513.56 / $2,290.87