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Utah rates for HCPCS 67229

Extensive Retinopathy 1/> Sess Preterm Infant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,119.90 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$908.20 / $1,119.90 / $2,483.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.69 / $1,610.89 / $2,056.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.33 / $654.48 / $1,035.44
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
$1,491.70 / $1,657.44 / $2,438.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $2,790.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.24 / $1,129.69 / $1,682.73