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Idaho rates for HCPCS 67145

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$548.63 / $615.11 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.59 / $459.77 / $1,131.19
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$681.48 / $681.48 / $681.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.36 / $596.84 / $872.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.20 / $542.75 / $1,029.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.88 / $385.34 / $467.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $422.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.08 / $1,394.94 / $1,770.12
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,466.24 / $2,092.41 / $2,746.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.14 / $429.89 / $483.88
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
$503.58 / $686.70 / $1,037.67