go back

Idaho rates for HCPCS 67399

Unlisted procedure, extraocular muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.00 / $1,326.00 / $4,500.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,074.58 / $1,074.58 / $1,074.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $78.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.14 / $725.07 / $1,153.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.33 / $202.33 / $202.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$180.00 / $1,800.00 / $9,193.00