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Utah rates for HCPCS 21030

Exc Benign Tumor/Cyst Maxl/Zygoma Encl & Curtg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.62 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.34 / $461.66 / $2,073.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $589.00 / $865.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $269.96 / $433.24
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
$471.70 / $688.55 / $1,279.60
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
$420.28 / $524.38 / $848.98