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Utah rates for HCPCS V2626

Reduction of ocular prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $229.09 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $173.78 / $218.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $169.82 / $275.42
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $239.88 / $323.59
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $245.47 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $120.23 / $181.97