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Utah rates for HCPCS 67228

Treatment Extensive Retinopathy Photocoagulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$841.25 / $1,186.81 / $4,387.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,362.14 / $5,362.14 / $5,362.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.49 / $957.87 / $1,186.81
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$6,525.57 / $6,525.57 / $6,525.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.95 / $536.98 / $1,490.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.65 / $215.33 / $297.80
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
$419.39 / $488.82 / $2,081.76
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
$314.08 / $493.17 / $1,133.55