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Utah rates for HCPCS 67220

Dstrj Lesion Choroid Pc 1/> Sess

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.58 / $2,870.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.57 / $1,063.49 / $1,098.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.60 / $781.11 / $1,198.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $282.96 / $480.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.54 / $1,102.11 / $1,606.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.18 / $763.45 / $1,097.80
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
$467.79 / $638.76 / $1,043.80