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Idaho rates for HCPCS 67255

Scleral Reinforcement Spx W/Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,897.00 / $4,500.00 / $7,761.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.60 / $1,333.09 / $2,085.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,539.29 / $7,201.73 / $12,319.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.00 / $5,550.00 / $12,233.00