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Utah rates for HCPCS 65290

Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.53 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.61 / $511.53 / $1,050.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.82 / $715.18 / $862.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.83 / $310.00 / $467.76
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
$633.14 / $703.49 / $1,061.42
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
$417.00 / $486.20 / $713.15