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Utah rates for HCPCS 68815

Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $3,162.28 / $4,786.30
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,235.94 / $4,897.79 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $389.05 / $630.96
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$645.65 / $724.44 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $363.08 / $645.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $724.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $8,912.51
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,011.87 / $5,888.44 / $13,489.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $537.03 / $912.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $446.68 / $776.25
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $501.19 / $1,202.26
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
$204.17 / $354.81 / $562.34