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Utah rates for HCPCS 67040

Vtrectomy Mchnl Pars Plna Endolaser Panrta Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.23 / $3,573.21 / $9,819.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,111.52 / $1,443.23 / $2,219.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.99 / $1,613.53 / $2,013.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $602.71 / $942.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,275.72 / $7,825.28 / $11,234.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.04 / $1,483.38 / $2,992.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$956.23 / $1,255.41 / $1,736.96