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Utah rates for HCPCS 21160

Rcnstj Midface Lefort Iii W/Fhd W/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
$2,578.30 / $3,810.37 / $14,719.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,661.34 / $3,839.37 / $6,088.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.70 / $1,592.70 / $2,589.41
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
$3,654.83 / $4,800.39 / $6,572.69
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
$2,427.59 / $2,913.13 / $4,693.35