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Utah rates for HCPCS V2625

Enlargement of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.08 / $274.56 / $483.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.23 / $213.23 / $213.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $476.39 / $577.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.74 / $410.03 / $414.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.53 / $221.62 / $369.37