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Utah rates for HCPCS 21150

Rcnstj Midface Lefort Ii Anterior Intrusion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.64 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,512.36 / $2,316.64 / $8,637.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,684.97 / $2,294.13 / $3,562.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.78 / $934.78 / $1,537.36
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
$2,143.55 / $2,791.36 / $4,239.87
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
$1,393.78 / $1,797.39 / $2,790.70