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Utah rates for HCPCS 65112

Exenteration Orbit Rmvl Orbit Contents & Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,432.76 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,432.76 / $1,432.76 / $3,276.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,114.78 / $2,089.67 / $2,597.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.65 / $867.02 / $1,371.39
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
$1,962.09 / $2,180.10 / $2,954.28
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
$1,200.74 / $1,453.90 / $2,123.09