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Utah rates for HCPCS 66991

Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg, trabecular meshwork, supraciliary, suprachoroidal) anterior segment aqueous drainage device, without extraocular reservoir, internal approach, one or more

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.57 / $4,805.88 / $10,458.00
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$139.71 / $139.71 / $139.71
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$523.92 / $523.92 / $523.92
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$104.79 / $104.79 / $104.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.94 / $698.57 / $1,462.88
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$104.00 / $104.79 / $219.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.39 / $969.29 / $1,254.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $378.69 / $605.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,270.51 / $9,909.79 / $14,441.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$882.49 / $980.54 / $1,142.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $4,912.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.50 / $711.00 / $1,121.64