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Utah rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,036.65 / $1,770.53 / $6,175.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,259.71 / $1,812.02 / $2,468.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $795.60 / $1,270.76
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,464.35 / $2,058.65 / $3,704.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.16 / $1,524.80 / $2,370.03