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Utah rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$583.52 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.52 / $583.52 / $1,297.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.48 / $832.33 / $1,063.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $334.78 / $544.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,435.37 / $4,418.50 / $6,439.02
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.27 / $870.30 / $1,212.00
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
$481.68 / $586.25 / $971.50