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Utah rates for HCPCS 65114

Exntj Orbit Rmvl Orb Cnts W/Musc/Myoq Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,502.23 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,502.23 / $1,502.23 / $3,422.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.24 / $2,182.56 / $2,720.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.64 / $900.14 / $1,440.38
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
$2,046.94 / $2,274.38 / $3,102.03
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
$1,257.11 / $1,537.16 / $2,520.67