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Utah rates for HCPCS 67030

Discission Vitreous Strans Pars Plana Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.69 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.69 / $512.69 / $1,192.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.65 / $764.74 / $927.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $302.37 / $488.75
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
$723.65 / $804.06 / $1,100.45
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
$442.86 / $527.30 / $784.38