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Utah rates for HCPCS A6412

Eye patch, occlusive, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.58 / $1.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.27 / $0.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.36 / $0.36
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $3.63 / $5.01
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.31 / $0.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.22 / $0.33