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Utah rates for HCPCS 20101

Exploration Penetrating Wound Spx Chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.64 / $553.27 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.14 / $553.27 / $1,217.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.39 / $454.95 / $996.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.82 / $409.85 / $542.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,814.80 / $3,509.81 / $5,038.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.73 / $638.04 / $1,091.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.48 / $507.27 / $795.18