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Utah rates for HCPCS 21076

Impression&Preparation Surg Obturator Prosthes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,168.46 / $1,168.46 / $1,361.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.79 / $1,168.46 / $3,959.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.07 / $1,179.76 / $1,612.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $655.57 / $851.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.66 / $1,314.64 / $2,442.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.79 / $964.23 / $1,527.51