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Idaho rates for HCPCS 67229

Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity), photocoagulation or cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $1,736.20 / $2,483.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.69 / $1,449.80 / $2,051.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.21 / $2,222.34 / $2,792.42
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,427.90 / $1,873.38 / $2,213.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $2,018.66
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
$1,873.38 / $2,284.76 / $2,303.17
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
$1,135.08 / $1,647.50 / $2,174.69