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Utah rates for HCPCS 65772

Corneal relaxing incision for correction of surgically induced astigmatism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $4,570.88 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $467.74 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $588.84 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $691.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,584.89 / $3,715.35
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $776.25 / $933.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $912.01
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $588.84 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $426.58 / $660.69