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Utah rates for HCPCS 21199

Osteotomy Mandible Sgmtl W/Genioglossus Advmnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,454.48 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$934.36 / $1,454.48 / $5,515.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.22 / $1,467.43 / $2,195.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $593.42 / $968.17
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
$1,318.94 / $1,733.76 / $2,545.84
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
$891.12 / $1,079.29 / $1,721.51