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Utah rates for HCPCS 21385

Open Tx Orbital Floor Blowout Fx Transantral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$985.58 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.51 / $985.58 / $3,953.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.69 / $1,002.03 / $1,584.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $456.49 / $713.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,413.68 / $11,103.62 / $16,181.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.94 / $1,150.59 / $1,705.24
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
$622.72 / $776.88 / $1,230.10