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Utah rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,433.04 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,489.56 / $2,433.04 / $8,677.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.93 / $2,342.13 / $3,735.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $943.74 / $1,525.17
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
$2,098.30 / $2,576.78 / $4,299.26
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
$1,364.35 / $1,688.04 / $2,698.41