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Utah rates for HCPCS 21196

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,079.73 / $5,743.00 / $9,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,269.08 / $1,515.38 / $7,547.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.46 / $2,037.18 / $3,278.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $833.52 / $1,335.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,238.37 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,856.35 / $2,454.58 / $3,710.47
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
$1,255.88 / $1,555.71 / $2,661.65