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Utah rates for HCPCS 65400

Excision Lesion Cornea Xcp Pterygium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.38 / $2,910.00 / $4,312.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$453.29 / $453.29 / $507.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.38 / $676.10 / $1,483.05
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$453.29 / $507.08 / $964.85
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$90.66 / $101.42 / $192.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.23 / $925.60 / $1,214.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $384.92 / $667.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.37 / $1,919.63 / $2,797.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.50 / $1,000.85 / $1,320.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.44 / $698.76 / $989.91