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Utah rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.11 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.11 / $497.11 / $1,062.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.06 / $697.18 / $878.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $276.00 / $435.51
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
$646.20 / $718.00 / $1,038.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.46 / $479.40 / $719.10