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Utah rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.34 / $1,767.44 / $6,328.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.60 / $1,766.95 / $2,495.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $662.04 / $1,064.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,497.79 / $2,020.54 / $3,066.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.18 / $1,264.69 / $2,024.19