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Idaho rates for HCPCS 67105

Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation

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
$358.88 / $585.79 / $825.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.83 / $425.83 / $565.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$279.20 / $620.95 / $1,371.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.64 / $469.67 / $569.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $516.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.08 / $1,394.94 / $1,770.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.04 / $544.53 / $589.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $2,620.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.20 / $619.99 / $1,211.05