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Utah rates for HCPCS 67440

Orbitotomy Bone Flap/Window Lateral W/Drg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,211.03 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.03 / $1,211.03 / $2,917.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$947.73 / $1,791.31 / $2,364.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $772.53 / $1,225.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,469.55 / $7,330.88 / $10,683.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.95 / $1,938.83 / $2,574.71
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
$1,023.96 / $1,261.34 / $1,843.65