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Idaho rates for HCPCS V2624

Polishing/Resurfacing Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.17 / $78.98 / $85.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.07 / $35.07 / $35.07
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.92 / $79.55 / $97.43
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.56 / $92.56 / $97.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.21 / $151.02 / $189.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.20 / $68.20 / $102.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.70 / $34.69 / $36.46