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Utah rates for HCPCS 21360

Open treatment of depressed malar fracture, including zygomatic arch and malar tripod

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $602.56 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $707.95 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $954.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $22,387.21
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,023.29 / $1,380.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $954.99 / $1,230.27
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $812.83 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $5,128.61 / $7,079.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $549.54 / $851.14