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Utah rates for HCPCS 67229

Treatment of extensive or progressive retinopathy, 1 or more sessions, preterm infant (less than 37 weeks gestation at birth), performed from birth up to 1 year of age (eg, retinopathy of prematurity), photocoagulation or cryotherapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $3,162.28 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $1,202.26 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,621.81 / $2,041.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,630.27
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
$1,479.11 / $1,949.84 / $3,019.95
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,089.30 / $2,951.21
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $1,548.82 / $2,630.27
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
$912.01 / $1,122.02 / $1,862.09