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Utah rates for HCPCS 21366

Open Tx Comp Fracture Malar Area W/Bone Graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.84 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.20 / $1,802.84 / $6,732.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.41 / $1,750.17 / $2,760.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.43 / $735.55 / $1,209.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,238.37 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,665.76 / $1,996.29 / $2,936.28
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
$1,073.88 / $1,348.94 / $2,170.35