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Utah rates for HCPCS 67570

Optic Nerve Decompression

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,280.31 / $3,977.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,280.31 / $1,280.31 / $2,924.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.97 / $1,806.49 / $2,283.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.08 / $737.59 / $1,142.28
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
$1,651.39 / $1,834.88 / $3,579.06
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
$1,010.61 / $1,213.65 / $1,819.68