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Utah rates for HCPCS 66150

Fstlj Sclera Glaucoma Trephin W/Iridectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.50 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.50 / $848.50 / $1,873.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.41 / $1,214.66 / $1,537.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $501.83 / $813.75
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
$1,137.05 / $1,263.39 / $1,809.26
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
$727.72 / $850.95 / $1,265.81