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Utah rates for HCPCS 21145

Rcnstj Midface Lefort I 1 Piece W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,110.71 / $5,743.00 / $13,762.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,297.89 / $1,537.04 / $8,314.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.85 / $2,190.01 / $3,336.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $906.80 / $1,432.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,238.37 / $10,273.82 / $14,749.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.09 / $2,634.66 / $4,128.76
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
$1,347.90 / $1,646.65 / $2,584.91