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Utah rates for HCPCS 20955

Bone Graft Microvascular Anastomosis Fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.00 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,259.41 / $3,642.34 / $12,891.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,515.03 / $3,653.76 / $6,920.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.05 / $1,375.41 / $2,249.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,147.96 / $12,655.20 / $18,168.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,176.60 / $3,837.25 / $6,387.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,129.69 / $2,606.77 / $4,168.72