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Utah rates for HCPCS 68720

Dacryocstorhinostomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$778.01 / $4,387.00 / $8,393.90
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,790.82 / $2,790.82 / $2,790.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,469.55 / $7,330.88 / $10,683.19
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,204.33 / $10,996.32 / $16,024.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00