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Utah rates for HCPCS 65785

Implantation Intrastromal Corneal Ring Segments

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.71 / $3,038.00 / $7,679.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.71 / $2,137.86 / $2,454.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.88 / $1,791.29 / $3,675.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.91 / $1,105.76 / $1,810.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,275.72 / $7,825.28 / $11,234.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.27 / $824.64 / $4,002.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,913.29 / $2,360.75 / $3,777.19