go back

Utah rates for HCPCS 21423

Open Tx Palatal/Maxillary Fx Comp Multiple Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.94 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.79 / $841.29 / $4,045.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.74 / $1,118.28 / $1,722.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $475.88 / $747.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,238.37 / $10,273.82 / $14,749.55
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,042.18 / $1,346.27 / $1,984.57
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
$677.65 / $873.20 / $1,338.02