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Utah rates for HCPCS 21386

Open Tx Orbital Floor Blowout Fx Periorbital

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$946.10 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.77 / $946.10 / $3,435.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.99 / $952.27 / $1,500.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $420.05 / $682.90
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
$907.29 / $1,142.49 / $1,742.06
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
$574.57 / $711.74 / $1,105.07