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Utah rates for HCPCS 20957

Bone Graft Microvascular Anast Metatarsal

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
$2,515.23 / $3,678.22 / $14,325.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,376.09 / $3,559.80 / $6,224.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.05 / $1,561.19 / $2,573.77
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
$3,583.46 / $4,229.76 / $5,488.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,753.00 / $15,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,142.40 / $2,866.32 / $4,578.78