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Utah rates for HCPCS 21159

Rcnstj Midface Lefort Iii W/Fhd W/O Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.00 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,377.73 / $3,968.04 / $13,574.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,453.65 / $3,610.09 / $5,612.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.05 / $1,451.61 / $2,376.36
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
$3,370.67 / $4,177.83 / $6,054.09
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
$2,237.69 / $2,834.40 / $4,480.39