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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
$1,230.27 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,023.29 / $1,659.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,737.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $22,387.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,348.96 / $2,238.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $1,288.25 / $1,659.59
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,122.02 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $5,128.61 / $13,803.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $851.14 / $1,288.25