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Utah rates for HCPCS 65820

Goniotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$728.94 / $3,757.00 / $5,670.66
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$546.71 / $546.71 / $546.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.41 / $728.94 / $1,775.80
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$109.34 / $109.34 / $266.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.04 / $1,083.83 / $1,446.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $474.37 / $766.54
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
$1,067.85 / $1,186.51 / $1,553.05
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
$622.72 / $777.15 / $1,132.71