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Utah rates for HCPCS 21010

Arthrotomy Temporomandibular Joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,022.17 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.22 / $1,022.17 / $3,983.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.66 / $1,045.50 / $1,560.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $447.11 / $687.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$966.47 / $1,226.22 / $1,916.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.36 / $776.29 / $1,240.73