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Utah rates for HCPCS 66030

Injx Anterior Chamber Eye Medication Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.01 / $2,870.00 / $4,312.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.54 / $149.35 / $236.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.97 / $173.63 / $294.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.39 / $127.35 / $162.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,435.37 / $4,418.50 / $6,439.02
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,153.06 / $6,627.75 / $9,658.53
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.38 / $230.34 / $318.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.66 / $171.85 / $250.41