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Idaho rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $245.47 / $281.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $338.84 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $257.04 / $323.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $281.84 / $323.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $229.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $229.09 / $354.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $323.59 / $323.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $120.23