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Utah rates for HCPCS V2626

Reduction Of Ocular Prosthesis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.13 / $169.22 / $260.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.94 / $114.94 / $114.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $194.75 / $218.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.16 / $167.62 / $223.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.54 / $119.47 / $179.96