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Utah rates for HCPCS 65125

Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage) (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.69 / $454.64 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.69 / $454.64 / $623.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.54 / $459.07 / $752.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $253.85 / $398.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,310.39 / $4,430.70 / $6,456.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.63 / $592.24 / $875.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.51 / $444.33 / $660.96