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Utah rates for HCPCS 67113

Rpr Complex Retina Detach Vitrect &Membrane Peel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,776.90 / $5,743.00 / $9,568.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.75 / $1,776.90 / $2,851.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,239.46 / $2,039.29 / $3,208.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.33 / $748.27 / $1,188.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,270.51 / $9,909.79 / $14,441.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,711.45 / $1,901.61 / $3,697.61
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
$1,216.33 / $1,481.20 / $2,167.50