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Utah rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.14 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.57 / $1,187.14 / $4,570.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$873.13 / $1,199.93 / $1,782.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $500.01 / $780.26
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
$1,103.54 / $1,446.97 / $2,264.55
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
$740.39 / $916.96 / $1,431.44