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Utah rates for HCPCS 21025

Excision of bone (eg, for osteomyelitis or bone abscess); mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,053.05 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.09 / $795.04 / $3,693.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.42 / $1,074.73 / $1,561.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $477.30 / $739.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$865.51 / $1,215.20 / $2,218.53
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
$722.68 / $924.12 / $1,419.00