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Utah rates for HCPCS 65155

Reinsertion Ocular Implt Rnfcmt &/ Attach Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$874.02 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.02 / $874.02 / $2,093.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.00 / $1,292.39 / $1,606.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $551.64 / $881.47
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
$1,255.83 / $1,395.38 / $1,805.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.28 / $884.70 / $1,305.59