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Idaho rates for HCPCS V2623

Prosthetic eye, plastic, custom

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.86 / $1,130.71 / $1,257.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.00 / $901.00 / $901.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.14 / $517.14 / $517.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.00 / $1,054.32 / $1,291.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,162.17 / $1,226.74 / $1,291.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$784.75 / $1,291.30 / $2,259.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.71 / $1,261.04 / $1,891.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$903.91 / $903.91 / $1,355.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.96 / $537.49 / $851.03