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Utah rates for HCPCS 67880

Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $478.63 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $562.34 / $831.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,047.13
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
$512.86 / $724.44 / $977.24
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $724.44 / $1,148.15
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $1,202.26
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
$323.59 / $436.52 / $660.69