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Utah rates for HCPCS 65275

Rpr Lac Cornea Nonperfor W/Wo Rmvl Foreign Body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.11 / $3,038.00 / $7,679.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.11 / $567.71 / $1,265.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.66 / $680.90 / $986.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $325.00 / $545.36
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
$638.27 / $834.62 / $1,123.29
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
$468.69 / $576.45 / $844.55