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Utah rates for HCPCS 66184

Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft

Facilitymedian $4,571 · 10th–90th $3,162$8,5110%20%10th90th$4,571Professionalmedian $1,175 · 10th–90th $832$1,5140%20%10th90th$1,175$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $4,570.88 / $8,511.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,466.84 / $6,760.83
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$831.76 / $1,174.90 / $1,513.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,677.35 / $7,079.46