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Utah rates for HCPCS 21179

Rcnstj Forehead &/ Supraorb Rims W/Algrf/Prostc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,171.08 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,396.89 / $2,171.08 / $8,024.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.88 / $2,096.26 / $3,282.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $877.02 / $1,410.79
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
$1,979.50 / $2,385.25 / $3,578.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.00 / $4,912.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.56 / $1,589.96 / $2,438.44