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Utah rates for HCPCS 21299

Unlisted Craniofacial & Maxillofacial Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,038.00 / $4,222.00 / $5,743.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.34 / $79.34 / $4,313.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.99 / $463.13 / $674.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.00 / $4,445.00 / $4,912.00