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Utah rates for HCPCS 21431

Closed Tx Craniofacial Separation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,043.13 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$648.52 / $1,043.13 / $3,737.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.61 / $995.17 / $1,486.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.47 / $411.60 / $649.12
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
$903.81 / $1,200.97 / $1,943.89
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
$609.61 / $768.96 / $1,162.44