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Utah rates for HCPCS 21138

Rdctj Fhd Cntrg & Prosthetic Matrl/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,255.05 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.64 / $1,255.05 / $4,840.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.34 / $1,259.38 / $1,979.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $549.94 / $870.15
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
$1,196.23 / $1,458.22 / $2,184.90
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
$782.34 / $983.09 / $1,594.20