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Utah rates for HCPCS 67108

Rpr Retinal Dtchmnt W/Vitrectomy Any Meth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.23 / $8,083.00 / $11,471.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,255.67 / $1,635.23 / $2,704.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.41 / $1,852.03 / $2,404.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.33 / $680.18 / $1,066.14
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
$1,530.86 / $1,700.95 / $3,394.69
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
$1,089.93 / $1,430.42 / $1,964.45