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Idaho rates for HCPCS 67108

Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,036.87 / $9,393.06 / $21,492.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.67 / $1,450.00 / $2,599.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,262.61 / $1,655.66 / $2,112.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,114.80 / $2,357.33 / $3,920.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.96 / $1,924.82 / $2,728.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,076.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,334.89 / $10,854.89 / $13,325.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,924.82 / $2,344.75 / $2,364.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,980.00 / $10,120.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.05 / $1,761.24 / $2,615.21