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Utah rates for HCPCS 67345

Chemodenervation Extraocular Muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.96 / $2,870.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.13 / $229.96 / $459.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.66 / $330.40 / $429.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.94 / $185.17 / $252.43
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.75 / $552.34 / $804.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.37 / $342.93 / $509.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $4,445.00 / $4,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.27 / $238.67 / $352.92