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Utah rates for HCPCS 67875

Temporary closure of eyelids by suture (eg, Frost suture)

Facilitymedian $3,020 · 10th–90th $170–$4,5710%10%10th90th$3,020Professionalmedian $170 · 10th–90th $95–$3470%10%10th90th$170$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$660.69 / $660.69 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $169.82 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $154.88 / $309.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $389.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,905.46 / $2,884.03
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,089.30 / $2,818.38 / $4,365.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $213.80 / $346.74
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $239.88 / $436.52
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $229.09 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$870.96 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $147.91 / $257.04