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Utah rates for HCPCS 67225

Dstrj Lesion Choroid Pdt 2nd Eye 1 Session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.94 / $29.67 / $63.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.37 / $40.60 / $49.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.50 / $60.00 / $69.37
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.95 / $41.58 / $59.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.23 / $29.75 / $48.08