go back

Utah rates for HCPCS 21247

Rcnstj Mndblr Condyle W/Bone Cartlg Autografts

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,316.78 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,452.73 / $2,316.78 / $8,500.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,524.10 / $2,233.34 / $3,403.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $906.10 / $1,449.34
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,238.37 / $10,273.82 / $14,749.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.12 / $2,582.62 / $3,854.10
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
$1,377.90 / $1,699.42 / $2,663.95