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Utah rates for HCPCS 21198

Osteotomy Mandible Segmental

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,641.59 / $4,387.00 / $8,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.65 / $1,641.59 / $5,870.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,177.88 / $1,593.41 / $2,182.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $583.98 / $954.31
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
$1,314.15 / $1,771.95 / $2,918.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$955.79 / $1,215.72 / $1,881.34