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Idaho rates for HCPCS 67121

Rmvl Implt Matrl Posterior Segment Intraocular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.38 / $1,380.55 / $2,049.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,200.89 / $5,895.27 / $7,340.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $9,360.00 / $17,870.00