go back

Utah rates for HCPCS 65820

Goniotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $4,168.69 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $851.14 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $1,071.52 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,380.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $16,982.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $1,412.54 / $2,290.87
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,258.93 / $2,041.74
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,230.27 / $2,454.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $776.25 / $1,230.27