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Utah rates for HCPCS 68761

Closure of the lacrimal punctum; by plug, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $3,019.95 / $4,570.88
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$602.56 / $691.83 / $1,698.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $181.97 / $467.74
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$151.36 / $436.52 / $524.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $181.97 / $257.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $204.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $512.86 / $1,122.02
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$645.65 / $758.58 / $1,698.24
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $302.00
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $295.12
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $173.78 / $245.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $138.04 / $213.80