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Utah rates for HCPCS V2627

Scleral cover shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.11 / $975.90 / $1,683.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.34 / $742.34 / $742.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $1,786.42
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.53 / $1,406.72 / $1,443.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.12 / $771.56 / $1,162.24