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Utah rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,357.32 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,559.91 / $2,357.32 / $8,969.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,603.59 / $2,278.77 / $3,665.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.78 / $973.40 / $1,600.38
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
$2,209.26 / $2,652.66 / $3,876.68
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
$1,436.51 / $1,823.75 / $2,835.95