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Utah rates for HCPCS 65091

Evisceration of ocular contents; without implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $5,888.44 / $8,511.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $6,456.54 / $14,791.08
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64