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Utah rates for HCPCS 21141

Rcnstj Midface Lefort I 1 Piece W/O Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,950.08 / $5,743.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.50 / $1,437.74 / $7,132.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,357.72 / $1,897.32 / $3,075.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $803.08 / $1,273.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,238.37 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,729.72 / $2,227.75 / $3,404.97
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
$1,153.80 / $1,459.45 / $2,269.15