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Utah rates for HCPCS 68801

Dilation of lacrimal punctum, with or without irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $3,388.44 / $4,570.88
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$457.09 / $457.09 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $109.65 / $204.17
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$147.91 / $147.91 / $147.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $128.82 / $173.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $144.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $524.81 / $1,584.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $158.49 / $251.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $131.83 / $218.78
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $120.23 / $165.96
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
$75.86 / $102.33 / $154.88