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Utah rates for HCPCS 21183

Rcnstj Orbit/Fhd/Nasethmd Exc Bone Grf>40 <80

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,220.09 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,110.34 / $3,220.09 / $12,165.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,243.85 / $3,207.19 / $4,966.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.05 / $1,311.35 / $2,126.71
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
$2,990.35 / $3,843.14 / $5,564.15
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
$1,979.32 / $2,468.65 / $3,897.02