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Utah rates for HCPCS 21137

Reduction Forehead Contouring Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,018.20 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.61 / $1,018.20 / $3,970.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.30 / $1,026.98 / $1,626.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $419.40 / $701.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.87 / $1,255.08 / $1,760.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.74 / $790.26 / $1,239.99