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Utah rates for HCPCS 66184

Revj Shunt Extraocular Reservoir W/O Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.07 / $4,312.00 / $8,133.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,435.37 / $4,418.50 / $6,439.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,561.46 / $7,048.00