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Utah rates for HCPCS 65260

Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,023.29 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,348.96 / $1,698.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $724.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,073.80 / $9,120.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $1,659.59 / $1,995.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,513.56 / $1,949.84
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,412.54 / $1,737.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,584.89