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Utah rates for HCPCS 66250

Revj/Rpr Oprative Wound Anterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.02 / $2,744.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.02 / $759.30 / $1,482.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.44 / $852.87 / $1,270.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $424.37 / $676.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,310.39 / $4,430.70 / $6,456.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.07 / $1,072.26 / $1,448.09
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
$619.20 / $768.96 / $1,196.15