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Utah rates for HCPCS 21047

Exc B9 Tum/Cst Mndbl Xtr-Oral Osteot&Prtl Mndb

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,843.05 / $3,084.00 / $4,707.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,149.94 / $1,843.05 / $6,759.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,329.23 / $1,838.96 / $2,624.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $735.58 / $1,126.56
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
$1,576.12 / $2,136.40 / $3,348.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $7,693.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,085.09 / $1,331.41 / $2,128.29