go back

Idaho rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.88 / $218.07 / $279.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $114.94
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.33 / $260.69 / $319.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.34 / $303.32 / $319.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.04 / $228.28 / $558.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.50 / $223.50 / $335.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.45 / $114.48 / $119.47