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Utah rates for HCPCS 20910

Cartilage graft; costochondral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $5,888.44 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $489.78 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $602.56 / $1,047.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $870.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $2,454.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $812.83 / $1,174.90
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $1,122.02
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $724.44 / $1,096.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $4,466.84 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $741.31