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Utah rates for HCPCS 21046

Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,715.35 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,318.26 / $5,495.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,445.44 / $2,137.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $2,398.83
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
$1,288.25 / $1,949.84 / $2,884.03
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,819.70 / $2,511.89
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,584.89 / $2,290.87
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
$891.25 / $1,122.02 / $1,737.80