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Utah rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,389.87 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.25 / $1,110.82 / $5,857.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.98 / $1,448.36 / $2,353.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $616.49 / $1,013.09
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
$1,422.95 / $1,708.12 / $2,812.72
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
$911.10 / $1,206.91 / $1,892.71