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Utah rates for HCPCS 65775

Crnl Wedge Rescj Corrj Induced Astigmatism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.89 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.89 / $537.89 / $1,230.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.95 / $789.56 / $976.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $330.32 / $544.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,310.39 / $4,430.70 / $6,456.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.11 / $826.79 / $1,146.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.24 / $557.54 / $812.43