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Utah rates for HCPCS 67145

Proph Retinal Dtchmnt W/O Drg Photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.73 / $1,066.44 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$955.86 / $955.86 / $955.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.25 / $499.50 / $785.55
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$639.87 / $1,778.00 / $1,778.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.20 / $445.79 / $829.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.97 / $186.41 / $232.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.54 / $1,102.11 / $1,606.11
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,248.81 / $1,653.18 / $2,409.17
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $351.02 / $1,070.75
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
$381.82 / $503.88 / $837.20