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Utah rates for HCPCS 21267

Orbital Repositioning W/Bone Grafts Extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,270.44 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.31 / $2,270.44 / $8,591.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,601.60 / $2,200.96 / $3,443.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $910.52 / $1,493.76
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
$2,085.67 / $2,546.16 / $3,886.22
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
$1,359.82 / $1,688.04 / $2,827.19