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Utah rates for HCPCS 65130

Insj Oc Implt Sec After Evsc Scll Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.74 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.74 / $750.74 / $1,851.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.41 / $1,116.67 / $1,421.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.98 / $494.17 / $768.45
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
$1,111.36 / $1,234.85 / $1,557.16
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
$654.03 / $805.32 / $1,252.71