go back

Utah rates for HCPCS G0186

Destruction of localized lesion of choroid (for example, choroidal neovascularization); photocoagulation, feeder vessel technique (one or more sessions)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.11 / $2,870.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.11 / $227.51 / $532.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.82 / $540.82 / $540.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $1,161.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.54 / $1,102.11 / $1,606.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.40 / $753.36 / $906.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,106.00 / $1,649.00 / $2,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.42 / $757.13 / $977.46