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Utah rates for HCPCS 21433

Open Tx Craniofacial Sep Complicated Mlt Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,408.90 / $4,387.00 / $8,344.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,591.35 / $2,408.90 / $9,159.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.82 / $2,397.13 / $4,905.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.78 / $1,001.35 / $1,620.30
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
$2,256.69 / $2,708.09 / $4,385.16
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
$1,482.96 / $1,868.88 / $3,030.61