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Utah rates for HCPCS 67105

Rpr Retinal Dtchmnt Drg Subretinal Fluid Pc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.34 / $3,038.00 / $8,194.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.58 / $650.34 / $721.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.12 / $483.35 / $815.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $190.39 / $261.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.54 / $1,102.11 / $1,606.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.27 / $427.41 / $1,402.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.83 / $470.39 / $741.60