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Utah rates for HCPCS 67101

Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.71 / $692.45 / $793.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.43 / $528.34 / $891.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $241.14 / $316.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.44 / $474.37 / $1,525.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.99 / $544.62 / $801.00