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Utah rates for HCPCS 67210

Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $602.56 / $1,096.48
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,905.46 / $1,905.46 / $2,398.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $758.58 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,202.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $977.24 / $2,238.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $831.76 / $1,122.02
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $1,174.90 / $1,318.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $660.69 / $912.01
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
$457.09 / $588.84 / $870.96