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Utah rates for HCPCS 21100

Appl Halo Appliance Maxillofacial Fixation Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.69 / $3,038.00 / $4,626.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.72 / $590.71 / $1,986.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.76 / $760.01 / $1,283.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.37 / $349.22 / $582.23
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
$470.33 / $898.83 / $2,609.79
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
$561.91 / $772.64 / $1,106.91