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Utah rates for HCPCS 65150

Reinsertion of ocular implant; with or without conjunctival graft

Facilitymedian $3,715 · 10th–90th $2,455–$6,0260%10%20%10th90th$3,715Professionalmedian $759 · 10th–90th $562–$1,5140%20%10th90th$759$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $3,715.35 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $724.44 / $1,513.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $776.25 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $512.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $7,413.10 / $11,220.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$912.01 / $1,096.48 / $1,230.27
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,071.52 / $1,288.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,047.13 / $2,089.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $616.60 / $1,000.00