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Idaho rates for HCPCS V2624

Polishing/resurfacing of ocular prosthesis

Facilitymedian $68 · 10th–90th $33$1000%10%20%10th90th$68Professionalmedian $62 · 10th–90th $34$830%20%10th90th$62$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $61.66 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $104.71 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $67.61 / $100.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $74.13 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $69.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $109.65
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $97.72 / $100.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $34.67 / $36.31