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Utah rates for HCPCS 67412

Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $6,025.60 / $9,332.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,023.29 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,288.25 / $1,737.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,949.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $8,912.51
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,011.87 / $5,888.44 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,698.24 / $2,398.83
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,584.89 / $2,290.87
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,348.96 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,479.11