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Utah rates for HCPCS 15823

Blepharoplasty, upper eyelid; with excessive skin weighting down lid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $6,025.60 / $9,332.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,698.24 / $4,168.69 / $5,888.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$380.19 / $776.25 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $758.58 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,691.53
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
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $831.76 / $1,047.13
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $758.58 / $1,096.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $812.83 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $602.56 / $891.25