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Utah rates for HCPCS 68850

Injection Contrast Medium Dacryocystograpy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.42 / $2,164.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.43 / $61.67 / $294.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.73 / $77.20 / $125.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.74 / $60.00 / $77.63
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.42 / $91.12 / $127.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.08 / $68.40 / $108.00