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Utah rates for HCPCS 21345

Closed Tx Nasomaxillary Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$901.61 / $3,294.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.71 / $822.34 / $3,294.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.14 / $941.35 / $1,496.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $479.75 / $740.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$844.19 / $1,176.35 / $1,929.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.09 / $827.69 / $1,319.82