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Utah rates for HCPCS 21255

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,947.67 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.00 / $1,947.67 / $7,311.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.41 / $1,911.80 / $2,869.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.95 / $795.60 / $1,245.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,238.37 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.08 / $2,289.69 / $3,300.89
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
$1,139.42 / $1,468.80 / $2,370.76