go back

Utah rates for HCPCS 66250

Revision or repair of operative wound of anterior segment, any type, early or late, major or minor procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $3,715.35 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $812.83 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $851.14 / $1,258.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,380.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $8,912.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $1,548.82
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,023.29 / $1,513.56
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $954.99 / $1,348.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $1,096.48