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Utah rates for HCPCS 21154

Rcnstj Midface Lefort Iii W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,009.24 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.05 / $3,009.24 / $10,221.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,172.71 / $2,896.96 / $4,221.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.78 / $1,125.46 / $1,840.27
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
$2,538.67 / $3,331.58 / $5,563.53
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
$1,690.37 / $2,126.69 / $3,306.36