go back

Utah rates for HCPCS 20696

App Mltpln Uni Xtrnl Fix Strtctc Adjmt 1st&Subsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.27 / $4,387.00 / $8,133.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,748.34 / $35,335.00 / $51,493.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00