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Utah rates for HCPCS 15822

Blepharoplasty, upper eyelid;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,370.32 / $5,370.32 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$562.34 / $562.34 / $3,630.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $3,311.31 / $7,244.36
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,265.80 / $5,011.87 / $10,964.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61