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Utah rates for HCPCS 67903

Rpr Blepharoptosis Levator Rescj/Advmnt Internal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.72 / $3,294.00 / $7,679.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,253.00 / $9,133.59 / $9,133.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.76 / $509.72 / $1,028.13
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$3,854.12 / $3,854.12 / $3,854.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.08 / $731.57 / $1,013.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $352.18 / $577.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,310.39 / $4,430.70 / $6,456.79
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,965.59 / $6,646.05 / $9,685.19
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.16 / $858.29 / $1,157.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.99 / $612.00 / $951.99