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Utah rates for HCPCS 67145

Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$954.99 / $954.99 / $954.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $501.19 / $1,174.90
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,778.28 / $1,778.28 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $426.58 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,230.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $977.24 / $2,238.72
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,258.93 / $1,479.11 / $3,388.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $407.38 / $1,096.48
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $524.81 / $1,258.93
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $309.03 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $478.63 / $758.58