go back

Utah rates for HCPCS 67141

Proph Retinal Dtchmnt W/O Drg Crtx Diathermy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.71 / $2,744.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.85 / $498.71 / $532.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.25 / $473.50 / $806.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.80 / $184.90 / $252.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.75 / $552.34 / $804.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $380.60 / $1,069.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.21 / $504.90 / $757.35