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Utah rates for HCPCS 65093

Evisceration Ocular Contents W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.25 / $3,977.00 / $8,133.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,469.55 / $7,330.88 / $10,683.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $6,097.00 / $8,267.00