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Utah rates for HCPCS 66155

Fstlj Sclera Glaucoma Thermocaut Irridec

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$847.79 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$847.79 / $847.79 / $1,872.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.75 / $1,214.14 / $1,535.89
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
$1,136.60 / $1,262.90 / $1,815.13
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
$711.00 / $879.91 / $1,264.80