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Utah rates for HCPCS 68335

Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $691.83 / $1,380.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $933.25 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $478.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,495.41 / $6,456.54 / $14,791.08
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,128.31 / $9,549.93 / $22,387.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $1,071.52 / $1,412.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,000.00 / $1,318.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $977.24 / $1,862.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $645.65 / $1,071.52