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Utah rates for HCPCS 0699T

Injection Posterior Chamber Eye Medication

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.02 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.02 / $104.02 / $104.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,435.37 / $4,418.50 / $6,439.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.80 / $140.80 / $160.00