go back

Utah rates for HCPCS 0445T

Sbsq Plmt Drug Eluting Ocular Insert Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.88 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.70 / $387.88 / $387.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.76 / $338.04 / $588.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $4,445.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.07 / $402.22 / $631.21