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Utah rates for HCPCS 21235

Graft Ear Crtlg Autogenous Nose/Ear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.07 / $4,218.38 / $8,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.91 / $736.63 / $2,843.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.12 / $853.56 / $1,365.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $440.54 / $707.87
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
$750.20 / $1,075.79 / $1,781.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.20 / $765.90 / $1,221.29