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Idaho rates for HCPCS V2629

Prosthetic Eye, Other Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.24 / $566.24 / $566.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.24 / $575.28 / $655.69
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.28 / $575.28 / $750.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $1,500.00 / $3,500.00