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Utah rates for HCPCS 21151

Rcnstj Midface Lefort Ii W/Bone Grafts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,777.41 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,663.60 / $2,777.41 / $9,501.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,020.13 / $2,711.38 / $3,921.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.78 / $1,024.17 / $1,684.08
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
$2,358.51 / $3,096.13 / $5,170.97
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
$1,577.57 / $1,926.97 / $3,072.73