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Utah rates for HCPCS 21048

Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$931.20 / $1,153.25 / $5,667.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,157.57 / $1,540.55 / $2,152.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $603.42 / $960.27
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.05 / $1,726.82 / $2,887.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$914.99 / $1,189.49 / $1,921.50