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Utah rates for HCPCS 68330

Repair of symblepharon; conjunctivoplasty, without graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $4,570.88 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $645.65 / $1,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $707.95 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $794.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $4,073.80 / $9,120.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $954.99 / $1,258.93
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $851.14 / $1,230.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $794.33 / $1,445.44
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
$407.38 / $575.44 / $891.25