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Idaho rates for HCPCS 67107

Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), including, when performed, implant, cryotherapy, photocoagulation, and drainage of subretinal fluid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,867.18 / $8,439.00 / $20,872.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.08 / $2,151.58 / $2,820.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,334.89 / $10,854.89 / $13,325.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $10,120.00 / $27,159.00