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Utah rates for HCPCS 67902

Rpr Blepharopt Frontalis Musc Autol Fascal Sling

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.05 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.17 / $750.05 / $1,556.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.70 / $1,053.11 / $1,332.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $436.14 / $674.74
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
$937.31 / $1,041.46 / $1,567.23
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
$599.76 / $738.01 / $1,189.00