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Utah rates for HCPCS 67400

Orbitotomy W/O Bone Flap Expl W/Wo Biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.71 / $4,387.00 / $7,568.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$741.05 / $741.05 / $741.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.90 / $957.71 / $2,246.82
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$4,313.52 / $4,313.52 / $4,313.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.76 / $1,414.46 / $1,823.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.31 / $604.27 / $925.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,469.55 / $7,330.88 / $10,683.19
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,204.33 / $10,996.32 / $16,024.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.36 / $1,495.95 / $2,622.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.94 / $1,000.54 / $1,421.37