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Utah rates for HCPCS 20933

Hemicortical Intercalary Allograft Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$976.10 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.85 / $976.10 / $3,408.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.70 / $957.46 / $1,492.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.62 / $590.69 / $722.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.10 / $1,074.76 / $1,670.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,556.00 / $4,495.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.79 / $697.08 / $1,168.07