go back

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
$1,621.81 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.02 / $1,737.80 / $2,454.71
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $691.83 / $1,513.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,137.96 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,445.44 / $2,041.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $2,238.72 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,318.26 / $1,862.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $2,187.76 / $2,398.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $912.01 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $2,630.27 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,513.56 / $2,187.76