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Utah rates for HCPCS 21408

Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,282.72 / $3,038.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.27 / $1,282.72 / $4,765.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.08 / $1,246.44 / $2,527.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $540.12 / $841.83
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
$1,180.13 / $1,414.71 / $2,254.94
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
$768.49 / $942.12 / $1,512.47