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Utah rates for HCPCS 65150

Reinsertion Ocular Implt W/Wo Conjunctival Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.59 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.59 / $563.59 / $1,525.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.68 / $834.49 / $1,172.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $403.27 / $623.86
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
$913.38 / $1,014.87 / $1,192.25
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
$497.92 / $622.05 / $943.25