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Utah rates for HCPCS 21050

Condylectomy Temporomandibular Joint Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,242.40 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.36 / $1,242.40 / $4,692.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$848.22 / $1,220.36 / $1,860.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.32 / $500.92 / $798.50
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
$1,125.30 / $1,389.58 / $2,117.21
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
$752.84 / $900.22 / $1,445.37