go back

Utah rates for HCPCS 20933

Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $3,162.28 / $4,570.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $794.33 / $3,630.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,479.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,621.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,096.48 / $1,621.81
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,258.93 / $1,584.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,096.48 / $1,621.81
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
$562.34 / $707.95 / $1,122.02