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Idaho rates for HCPCS V2625

Enlargement Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.43 / $483.61 / $518.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.40 / $490.48 / $592.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.27 / $562.69 / $592.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.97 / $918.08 / $1,155.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.62 / $414.62 / $621.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.53 / $210.89 / $221.62