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Utah rates for HCPCS 15823

Blepharoplasty Upper Eyelid W/Excessive Skin

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.14 / $3,977.00 / $9,387.32
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,690.04 / $4,146.06 / $11,851.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.18 / $575.72 / $946.94
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$709.43 / $792.29 / $1,663.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.91 / $770.03 / $976.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $358.43 / $582.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,814.80 / $3,509.81 / $5,038.84
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,222.20 / $5,264.72 / $7,558.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.59 / $747.24 / $1,001.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.60 / $627.84 / $943.12