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Utah rates for HCPCS 67042

Vitrectomy Pars Plana Remove Int Memb Retina

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,544.43 / $5,743.00 / $8,765.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.72 / $1,544.43 / $2,472.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.11 / $1,775.14 / $2,268.65
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 / $3,212.96
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
$1,046.08 / $1,373.49 / $1,874.24