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Idaho rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.59 / $3,353.88 / $3,477.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.89 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,732.53 / $2,732.53 / $3,311.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,165.07 / $2,995.38 / $3,989.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,595.94 / $3,790.34 / $3,989.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,944.49 / $3,506.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,493.63 / $3,896.32 / $5,844.48
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,792.88 / $2,792.88 / $4,189.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,668.58 / $1,804.68 / $2,862.21