go back

Utah rates for HCPCS 21355

Percutaneous Tx Malar Area Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.35 / $3,294.00 / $7,568.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.94 / $466.35 / $1,688.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.86 / $512.03 / $833.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $322.75 / $427.49
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
$433.85 / $657.08 / $1,114.88
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
$376.09 / $449.24 / $711.08