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Utah rates for HCPCS 21127

Agmntj Mndblr Bdy/Angl W/Grf Onlay/Interposal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.25 / $3,871.31 / $8,409.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$942.77 / $3,471.52 / $6,811.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.05 / $2,318.66 / $3,535.31
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.68 / $4,435.95 / $9,727.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,352.43 / $4,375.68 / $6,793.85