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Utah rates for HCPCS 21193

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,866.06 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.13 / $1,866.06 / $6,623.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,187.99 / $1,740.40 / $2,651.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $726.72 / $1,157.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,597.01 / $2,022.70 / $3,002.01
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
$1,038.40 / $1,288.08 / $2,054.28