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Utah rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.10 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.71 / $576.10 / $2,079.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.99 / $593.67 / $872.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $269.96 / $460.35
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
$482.78 / $724.74 / $1,265.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $4,912.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.36 / $524.66 / $839.11