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Utah rates for HCPCS 0474T

Insj Ant Seg Aqueous Drg Dev W/Io Rsvr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.92 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.39 / $534.92 / $534.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.86 / $555.03 / $662.99
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.52 / $446.58 / $752.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $4,912.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.61 / $300.10 / $450.72