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Utah rates for HCPCS 21026

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $3,388.44 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $630.96 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $676.08 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,148.15
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
$562.34 / $912.01 / $1,318.26
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $851.14 / $1,096.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $776.25 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $562.34 / $891.25