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Utah rates for HCPCS 65110

Exenteration Orbit Remvl Orbital Contents Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.35 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.35 / $1,226.35 / $2,861.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.41 / $1,814.08 / $2,219.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.65 / $761.85 / $1,193.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,469.55 / $7,330.88 / $10,683.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,713.19 / $1,903.54 / $2,543.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,048.42 / $1,297.08 / $1,837.53