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Utah rates for HCPCS 21407

Open Tx Fx Orbit Except Blowout W/Implant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.62 / $4,387.00 / $9,078.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.25 / $918.62 / $3,403.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.67 / $892.79 / $1,796.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $370.06 / $589.74
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
$840.71 / $1,011.48 / $1,607.03
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
$554.40 / $678.01 / $1,081.38