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Utah rates for HCPCS 21206

Osteotomy Maxilla Segmental

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.35 / $1,721.10 / $6,124.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,127.70 / $1,560.70 / $2,098.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $583.98 / $926.77
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.94 / $1,655.09 / $3,096.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.69 / $1,226.88 / $1,909.36