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Utah rates for HCPCS 21325

Open Treatment Nasal Fracture Uncomplicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.80 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.80 / $530.12 / $2,328.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.04 / $643.51 / $958.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.46 / $253.96 / $423.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,525.68 / $6,104.56 / $8,896.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.28 / $761.93 / $1,167.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $3,613.00 / $7,048.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.02 / $473.10 / $750.93