go back

Utah rates for HCPCS 21395

Optx Orb Floor Blwt Fx Pri/Bital Appr W/Bone Grf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.87 / $4,387.00 / $9,932.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.05 / $1,379.87 / $5,331.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,008.58 / $1,393.77 / $2,179.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.71 / $578.37 / $948.39
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
$1,315.46 / $1,656.08 / $2,533.23
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
$855.34 / $1,056.58 / $1,730.47