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Utah rates for HCPCS 67041

Vitrectomy Pars Plana Remove Preretinal Membrane

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,349.22 / $5,743.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,034.03 / $1,349.22 / $2,450.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$907.67 / $1,687.71 / $2,095.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.33 / $643.59 / $1,017.71
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
$1,471.24 / $1,634.71 / $2,807.01
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
$1,008.74 / $1,238.00 / $1,874.80