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Utah rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,621.81 / $4,570.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,621.81 / $2,818.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $1,621.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $2,187.76 / $4,677.35
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,737.80 / $3,235.94
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.99 / $2,187.76 / $3,467.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,348.96 / $2,511.89